Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700264090 Individual Practitioner Female Practitioner

Angie Bolduc

Licensed Practical Nurse • Putnam, CT

Professional Overview & Biography Verified Profile Summary

Angie Bolduc is a registered healthcare professional specializing in Licensed Practical Nurse in Putnam, CT. Practice services are available at 391 POMFRET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

391 Pomfret St

Putnam, CT 062601852

Telephone 8609634971
Fax 8609634979
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Putnam, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.0 Yrs
Regional Practice Density
30 Specialists

Practicing in Putnam, CT (389 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-15
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License CT 038592

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kerri Deorsey , LPN

Licensed Practical Nurse

NPI 1013320878

Licensed Practical Nurse

Mary Mcginn

Counselor

NPI 1013361559
Holly Santiago

Registered Nurse

NPI 1063914745
Tessa Hidalgo

Licensed Practical Nurse

NPI 1073015749
Emily Therrien

Licensed Practical Nurse

NPI 1083188163
Stacy White

Registered Nurse

NPI 1093431025

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address October 15, 2020

Registered at 2 WATERSIDE XING STE 401, WINDSOR, CT 060951588 (Tel: 8607315522)

👤
Provider Name / Credentials Updated October 15, 2020

Recorded as ANGIE BOLDUC

NPI Profile Active May 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2015

Registered at 391 POMFRET ST, PUTNAM, CT 062601852 (Tel: 8609634971)

📍
Updated Business Mailing Address May 07, 2015

Registered at 995 DAY HILL RD, WINDSOR, CT 060951722 (Tel: 8607315522)

👤
Provider Name / Credentials Updated May 07, 2015

Recorded as ANGIE VERRANEAULT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2015

Counselor

🟢
Initial NPI Registration & Enumeration May 07, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700264090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2015
Last Update: October 15, 2020
Sole Proprietor: No

Mailing Address

2 Waterside Xing Ste 401

Windsor, CT 060951588

Phone: 8607315522

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.