Mrs. Nicole M Boudreaux, PA-C
Mrs. Nicole M Boudreaux, PA-C is a Physician Assistant in Princess Anne, Maryland. Qualified in 2018, 8 years ago. Practices with Lower Shore Immediate Care LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 8
- Licensed in
- MD
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
12302 Somerset Ave Ste ABPrincess Anne, MD 21853-3099
Phone: (410) 651-0300
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 205 S Division St, Salisbury, MD 21801-4930 — (443) 944-9896
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence C0007122 (MD) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence C0007122 (MD) |
Record details
| NPI number | 1699231894 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | February 13, 2019 |
| Last updated in NPPES | December 27, 2023 |
| Certification date | December 27, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Lower Shore Immediate Care Llc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Princess Anne
-
Mr. Lionel Mue Kum, PA-C
12208 Brittingham Rd, Princess Anne, MD 21853-2214 · (410) 651-1410
-
Kevin Michael Meadowcroft, PA-C
12208 Brittingham Ln, Princess Anne, MD 21853-2214 · (410) 651-1410