person
Melody L Boulton, PMHCNS-BC
Adult Psychiatric/Mental Health Clinical Nurse Specialist in Portland, Maine
NPI 1013931492

Melody L Boulton is an Adult Psychiatric/Mental Health Clinical Nurse Specialist based in Portland, ME and is specialized in Psychiatric/Mental Health, Adult. Melody L Boulton practices in Portland, ME and has the professional credentials of PMHCNS-BC. The NPI Number for Melody L Boulton is 1013931492 and holds a License No. R026582 (Maine).

The current practice location address for Melody L Boulton is 413 Ludlow St, Portland, ME and can be reached out via phone at 207-871-0013. You can also correspond with Melody L Boulton through the mailing address at 413 LUDLOW ST, PORTLAND, ME - 04102-1544 (mailing address contact number: 207-871-0013).

Location: 413 Ludlow St, Portland, ME, 04102-1544
person
Provider Profile Details
NPI Number
1013931492
Provider Name
Melody L Boulton
Credential
PMHCNS-BC
Provider Entity Type
Individual
Gender
Female
Address
413 Ludlow St, Portland, ME, 04102-1544
Phone Number
207-871-0013
Fax Number
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
299140099 05 ME
institution
Provider Business Practice Location Address Details
Address
413 Ludlow St
City
State
Zip
04102-1544
Phone Number
207-871-0013
Fax Number
person
Provider Business Mailing Address Details
Address
413 Ludlow St
City
State
Zip
04102-1544
Phone Number
207-871-0013
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
R026582 (Maine)
Definition
Definition to come...
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