IndividualActive
Angela Boulanger
NPI 1023603040 · Licensed Practical Nurse · Killeen, TX
Provider details
- NPI number
- 1023603040
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- L0046255 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
5200 Bunny Trl
Killeen, TX 76549-6930
Phone: (254) 553-8110
Fax: (254) 553-8111
Approximate (ZIP-level) locationGet directions
Mailing address
36065 Santa Fe Ave
Fort Hood, TX 76544-5060
Registry dates
- Enumerated
- 2021-03-02
- Last updated
- 2021-03-02
- Certified
- 2021-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.