Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Annmarie Green Bolduc, APRN

Individual provider Nurse Practitioner · NPI 1770827776

Mrs. Annmarie Green Bolduc, APRN is a Nurse Practitioner in Port Charlotte, Florida. Qualified in 2012, 14 years ago. Practices with Leavitt Medical Associates of Florida Inc, a 195-clinician group and accepts Medicare assignment. Licensed in Connecticut and Florida.

Years since qualifying
14
Licensed in
CT, FL
In the registry since
2012
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1617 Tamiami Trl
Port Charlotte, FL 33948-1040
Phone: (941) 613-2400
Fax: (941) 613-2401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11015846 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 005213 (CT)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 005213 (CT)

Record details

NPI number1770827776
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Leavitt Medical Associates Of Florida Inc — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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