Provider Demographics
NPI:1356674022
Name:LE DOUX, ARLENE BOYD (APHN)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:BOYD
Last Name:LE DOUX
Suffix:
Gender:F
Credentials:APHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 COCHRANE CIRCLE
Mailing Address - Street 2:MCXE-PMD-PHN
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-4604
Mailing Address - Country:US
Mailing Address - Phone:719-526-3206
Mailing Address - Fax:719-526-7181
Practice Address - Street 1:1650 COCHRANE CIR
Practice Address - Street 2:MCXE-PMD-PHN
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4603
Practice Address - Country:US
Practice Address - Phone:719-526-3206
Practice Address - Fax:719-526-7181
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN075266163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health