Active NPIIndividual provider

Nicole Boutaugh, DO

Hospitalist in Lewiston, Maine

NPI Number1144668914
Practice location
300 Main St, Lewiston, ME 04240-7027
Fax
—
Last updated
March 17, 2018

Nicole Boutaugh is a Hospitalist based in Lewiston, ME. Nicole Boutaugh practices in Lewiston, ME and has the professional credentials of DO. The NPI Number for Nicole Boutaugh is 1144668914 and holds a License No. TP13108 (ME). The current practice location address for Nicole Boutaugh is 300 Main St, Lewiston, ME 04240-7027 and can be reached out via phone at 207-795-7575.

Provider Profile Details

NPI Number
1144668914
Provider Name
Nicole Boutaugh
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
300 Main St, Lewiston, ME 04240-7027
Phone Number
207-795-7575
Primary Taxonomy
Hospitalist · 208M00000X
Sole Proprietor
No
Provider Enumeration Date
June 13, 2013
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Main St
Lewiston, ME 04240-7027
State
Maine
Zip
04240-7027
Phone Number
207-795-7575
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
300 Main St
Lewiston, ME 04240-7027
City
Lewiston
State
ME
Zip
04240-7027
Phone Number
207-795-7575

License Information

License Number (1)
TP13108
License State (1)
ME
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
DO2563
License State (2)
ME
Taxonomy (2)
Hospitalist · 208M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole Boutaugh, DO?

The NPI number of Nicole Boutaugh, DO is 1144668914. It was assigned on June 13, 2013 and is currently active in the NPPES registry.

What is the specialty of Nicole Boutaugh, DO?

Nicole Boutaugh, DO is registered under the primary taxonomy Hospitalist (code 208M00000X), licensed in ME under license number TP13108.

Where does Nicole Boutaugh, DO practice?

The practice location is 300 Main St, Lewiston, ME 04240-7027. The office can be reached at 207-795-7575 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144668914 directly on the NPPES registry website.

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