Most Relevant Information
Provider Data
| NPI Number: | 1003644022 |
| Provider Name: | CAROLINE BOUDREAU CROUSE FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1-197115 |
Most Important Dates
| Enumeration Date: | 07/22/2024 |
| Last Updated: | 08/26/2024 |
Provider Practice Location
7201 HAPPY HOLLOW RD
TRUSSVILLE
AL
351732458
Practice Location Phone/Fax
| Phone: | 2058557188 |
| Fax: |
Provider Mailing Location
7201 HAPPY HOLLOW RD
TRUSSVILLE
AL
351732458
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |