MRS. ANNMARIE GREEN BOLDUC (NPI# 1770827776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770827776 |
| Entity Type | Individual |
| Full Name | MRS. ANNMARIE GREEN BOLDUC |
| Credential | APRN |
| Practice Address |
1 Royce Circle, Ste 104 Uconn Medical Group Storrs CT 06268 |
| Practice Telephone | 8604879200 |
| Practice Fax Number | 8604879222 |
| Mailing Telephone | 8604879200 |
| Mailing Fax Number | 8604879222 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 005213 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
005213 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 ROYCE CIRCLE, STE 104 UCONN MEDICAL GROUP |
| City | STORRS |
| State | CT |
| Zip Code | 06268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354401 | Brandon Hallaway | Specialist/Technologist | 2098 Hillside Rd, Storrs, CT 06268 | 2020-10-21 |
| 1952965196 | Kelsey Rankin | Kinesiotherapist | 100 Jim Calhoun Way, Storrs, CT 06268 | 2019-04-23 |
| 1215312137 | Patricia M Baker | Social Worker | 945 Storrs Rd, Storrs Mansfield, CT 06268 | 2015-07-21 |
| 1760866719 | Loving Hands Chiropractic LLC | Chiropractor | 1733 Storrs Rd Ste 11, Storrs, CT 06268 | 2015-07-18 |
| 1073939336 | Price Chopper Inc | Pharmacy | 1220 Storrs Road, Storrs Mansfield, CT 06268 | 2014-03-11 |
| 1922251859 | Kimberly A Barton | Psychologist | 1066 Storrs Rd., Suite E, Storrs, CT 06268 | 2008-10-22 |
| 1639335813 | Michael Thomas Hurlock | Counselor | 9 Dunham Pond Road, Storrs, CT 06268 | 2008-08-06 |
| 1013183979 | Jean Ann Kenny | Social Worker | 17 Lynwood Rd, Storrs, CT 06268 | 2008-05-01 |
| 1790962397 | Hans L Franzen | Marriage & Family Therapist | 1066 Storrs Road, Storrs, CT 06268 | 2008-01-25 |
| 1932393444 | Jennifer Lynn Lloyd | Nurse Practitioner | 1244 Storrs Rd, Storrs, CT 06268 | 2007-08-29 |
| Find all providers in zip 06268 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997847 | Rachel Sarmento | Nurse Practitioner | 13 Sanford Dr, Shelton, CT 06484-5507 | 2020-09-23 |
| 1699399618 | Ann Monica Boisvert | Nurse Practitioner | 5 Perryridge Rd Ste 2-248, Greenwich, CT 06830-4608 | 2020-06-05 |
| 1861041121 | Huong T Nguyen | Nurse Practitioner | 400 Capital Blvd Ste 3, Rocky Hill, CT 06067-3576 | 2019-09-10 |
| 1598319980 | Daniella Gould | Nurse Practitioner | 75 Kings Highway Cutoff Ofc, Fairfield, CT 06824-5340 | 2019-07-24 |
| 1770042038 | Linda Lee Meyer | Nurse Practitioner | 320 Lakeview Ave, Waterbury, CT 06705-2145 | 2019-03-17 |
| 1942766761 | Lawrence M Anderson | Nurse Practitioner | 92 Harwood Rd, Waterbury, CT 06706-2420 | 2019-02-17 |
| 1912497751 | Catherine Rice | Nurse Practitioner | 25 Commerce Rd, Newtown, CT 06470-1607 | 2018-05-17 |
| 1407346323 | Irene D Gumboc | Nurse Practitioner | 99 Starr St, Norwich, CT 06360-4025 | 2018-05-16 |
| 1326546839 | Kristin Holly Van Horn | Nurse Practitioner | Winchester Chest Clinic, 789 Howard St, New Haven, CT 06510 | 2018-01-30 |
| 1891207411 | Michelene Wray | Nurse Practitioner | 474 Cowperthwaite St Apt C, Danbury, CT 06811-5518 | 2017-11-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.