CAROLINE COLLINS BOUDRIAS APRN NPI 1316628779

NPI Information

  • NPI: 1316628779
  • Provider Name: CAROLINE COLLINS BOUDRIAS, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11380 SW VILLAGE PKWY
    PORT ST LUCIE, FL
    ZIP 34987
  • Phone: (772) 286-9400

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NPI Details

Caroline Collins Boudrias, APRN is a family nurse practitioner in Port St Lucie, FL with 3 years of experience. Caroline Collins Boudrias, APRN NPI is 1316628779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: FLORIDA ATLANTIC UNIVERSITY, COLLEGE OF MEDICINE
Graduation Year:2023

The provider's business location address is:

11380 SW VILLAGE PKWY
PORT ST LUCIE, FL
ZIP 34987-388
Phone: (772) 286-9400

The NPI 1316628779 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2023 and was last updated on 7/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily11027587FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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