Brianna Boulanger, is a
Student In An Organized Health Care Education/training Program based in Albuquerque, New Mexico. Brianna Boulanger is licensed to practice in * (Not Available) (license number ) and her current practice location is
901 Rio Grande Blvd Nw Ste G252, Albuquerque, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 702-8112.
NPI number for Brianna Boulanger is 1508725235 and her current mailing address is 901 Rio Grande Blvd Nw Ste G252, Albuquerque, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508725235.
Healthcare Provider's Profile
| Full Name | Brianna Boulanger |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 901 Rio Grande Blvd Nw Ste G252, Albuquerque, New Mexico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508725235
- Provider Enumeration Date: 01/19/2026
- Last Update Date: 01/19/2026
Medical Identifiers
Medical identifiers for Brianna Boulanger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508725235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brianna Boulanger is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brianna Boulanger, 901 Rio Grande Blvd Nw Ste G252, Albuquerque, NM 87104-2050 Ph: (505) 702-8112 | Brianna Boulanger, 901 Rio Grande Blvd Nw Ste G252, Albuquerque, NM 87104-2050 Ph: (505) 702-8112 |
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