Tina Budreau
Nurse Practitioner - Psychiatric/Mental Health
1320 19th Ave Nw
Clinton
, Iowa 52732-2752
Tina Budreau
Nurse Practitioner - Psychiatric/Mental Health
1320 19th Ave Nw
Clinton
, Iowa 52732-2752
(563) 243-9567
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Tina Budreau
- 1320 19th Ave Nw
- Clinton, IA
- Zip : 52732-2752
- Fax : (563) 243-9567
- Phone : (563) 243-5633
Second Address
- Tina Budreau
- 1320 19th Ave Nw
- Clinton, IA
- Zip : 52732-2752
- Fax : (563) 243-9567
- Phone : (563) 243-5633
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 061966 | IA |
National Provider Identifier
| NPI | 1003990896 |
|---|---|
| Provider Name | Tina Budreau |
| First Address | Clinton, IA 52732-2752 |
| Second Address | Clinton, IA 52732-2752 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 08/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P70742 | (02) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.