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Mrs. Nicole M Boudreaux, PA-C

Medical Physician Assistant in Princess Anne, MD · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699231894

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Registry record

Entity type Individual (Type 1)
Name Mrs. Nicole M Boudreaux
Credential PA-C
Sex Female
Practice address 12302 Somerset Ave Ste Ab, Princess Anne, MD, 21853
Phone (410) 651-0300
Enumeration date Feb 13, 2019
Last updated in NPPES Dec 27, 2023

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License C0007122 (MD) Primary
207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License C0007122 (MD) Secondary

Other identifiers

Identifier Type State Issuer
C0007122 Other MD MARYLAND MEDICAL LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Nicole Boudreaux?
The National Provider Identifier (NPI) for Nicole Boudreaux is 1699231894, a Type 1 (individual) record in the CMS NPPES registry.
Where does Nicole Boudreaux practice?
The practice location on file with NPPES is in Princess Anne, MD. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-27.