| Doctor Name: | MS. ANN BOUDREAUX |
| NPI Number: | 1144260852 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | PA-750 |
| Business Practice Address: | 10 Barker St Community Health And Counseling Services Calais, ME - 046191404 |
| Business Phone Number: | 2074542743 |
| Business Fax Number: | 2074547387 |
| Mailing Address: | Po Box 425, Community Health And Counseling Services BANGOR |
| State: | ME |
| Postal Code: | 044020425 |
| Phone Number: | 2079470366 |
| Fax Number: | 2074547387 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 08/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA-750 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |