Breanna Boulanger

NPI 1437901287 · on the registry since 2024

Practice

Address: 913 Sheidley Ave
Bonner Springs, KS 66012
Phone: (816) 301-4533
Organisation at this address: Providence Care An Operating Division Of Providence Medical Ctr
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 50

Registry record

Primary taxonomy: 106S00000X
106S00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas