| Doctor Name: | MS. HOLLY ELAINE BOULANGER |
| NPI Number: | 1568586394 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 147263 |
| Business Practice Address: | 4 Silver St Monson, MA - 010579429 |
| Business Phone Number: | 4132674448 |
| Business Fax Number: | |
| Mailing Address: | 4 Silver St, MONSON |
| State: | MA |
| Postal Code: | 010579429 |
| Phone Number: | 4132674448 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 147263 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |