Noelle Paige Boudreau, PA is a
Student In An Organized Health Care Education/training Program based in Charleston, South Carolina. Noelle Paige Boudreau is licensed to practice in * (Not Available) (license number ) and her current practice location is
171 Ashley Ave, Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 792-1414.
NPI number for Noelle Paige Boudreau is 1316832306 and her current mailing address is Po Box 751461, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316832306.
Provider's Profile
| Full Name | Noelle Paige Boudreau |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 171 Ashley Ave, Charleston, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316832306
- Provider Enumeration Date: 06/10/2025
- Last Update Date: 07/07/2026
Medical Identifiers
Medical identifiers for Noelle Paige Boudreau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316832306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (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. Noelle Paige Boudreau 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 |
|---|
Noelle Paige Boudreau, PA
Po Box 751461,
Charlotte, NC 28275-1461
Ph: () - | Noelle Paige Boudreau, PA
171 Ashley Ave,
Charleston, SC 29425-8908
Ph: (843) 792-1414 |
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