- Practice location
- 15 Gracelawn RD Ste 101, Auburn, ME 04210-6347
- Phone
- 207-333-4710
- Fax
- 207-333-4715
- Last updated
- November 8, 2022
Michelle Boutin is a Physician Assistant, Surgical based in Auburn, ME. Michelle Boutin practices in Auburn, ME and has the professional credentials of PA. The NPI Number for Michelle Boutin is 1194313080. The current practice location address for Michelle Boutin is 15 Gracelawn RD Ste 101, Auburn, ME 04210-6347 and can be reached out via phone at 207-333-4710 and via fax at 207-333-4715.
Provider Profile Details
- NPI Number
- 1194313080
- Provider Name
- Michelle Boutin
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 15 Gracelawn RD Ste 101, Auburn, ME 04210-6347
- Phone Number
- 207-333-4710
- Fax Number
- 207-333-4715
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 6, 2021
- Last Update Date
- November 8, 2022
- Certification Date
- November 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Gracelawn RD Ste 101
Auburn, ME 04210-6347 - City
- Auburn
- State
- Maine
- Zip
- 04210-6347
- Phone Number
- 207-333-4710
- Fax Number
- 207-333-4715
Provider Business Mailing Address Details
- Address
- Po Box 95000 Lbx 7650
Philadelphia, PA 19195-0001 - City
- Philadelphia
- State
- PA
- Zip
- 19195-0001
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X
- Taxonomy (3)
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Michelle Boutin, PA?
The NPI number of Michelle Boutin, PA is 1194313080. It was assigned on January 6, 2021 and is currently active in the NPPES registry.
What is the specialty of Michelle Boutin, PA?
Michelle Boutin, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X).
Where does Michelle Boutin, PA practice?
The practice location is 15 Gracelawn RD Ste 101, Auburn, ME 04210-6347. The office can be reached at 207-333-4710 (phone) or 207-333-4715 (fax).
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 1194313080 directly on the NPPES registry website.