NPI
Andrea Boulka
NPI 1447942354
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- CPhT
- Type
- Individual
- Enumeration date
- 2023-05-22
- Last updated
- 2023-05-22
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Specialties
Licenses
- License MN
- 738488
Location
- Practice location
- 505 Hope Dr Ste 14b
- City
- Eagan MN
- Postal code
- 55121-1003
- Phone
- (651) 324-0281
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Eagan, MN. 2,096 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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