Active NPIIndividual provider

Rachel Boutaugh, FNP

Nurse Practitioner, Family in Medway, Maine

NPI Number1235643990
Practice location
1930 Medway RD, Medway, ME 04460-3166
Fax
—
Last updated
March 24, 2025

Rachel Boutaugh is a Nurse Practitioner, Family based in Medway, ME. Rachel Boutaugh practices in Medway, ME and has the professional credentials of FNP. The NPI Number for Rachel Boutaugh is 1235643990 and holds a License No. AP134895 (TX). The current practice location address for Rachel Boutaugh is 1930 Medway RD, Medway, ME 04460-3166 and can be reached out via phone at 207-794-6700.

Provider Profile Details

NPI Number
1235643990
Provider Name
Rachel Boutaugh
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1930 Medway RD, Medway, ME 04460-3166
Phone Number
207-794-6700
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
November 16, 2017
Last Update Date
March 24, 2025
Certification Date
March 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1930 Medway RD
Medway, ME 04460-3166
City
Medway
State
Maine
Zip
04460-3166
Phone Number
207-794-6700
Medway, ME 04460Get directions →

Provider Business Mailing Address Details

Address
1930 Medway RD
Medway, ME 04460-3166
City
Medway
State
ME
Zip
04460-3166
Phone Number
207-794-6700

License Information

License Number (1)
AP134895
License State (1)
TX
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
CNP241177
License State (2)
ME
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Rachel Boutaugh, FNP?

The NPI number of Rachel Boutaugh, FNP is 1235643990. It was assigned on November 16, 2017 and is currently active in the NPPES registry.

What is the specialty of Rachel Boutaugh, FNP?

Rachel Boutaugh, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in TX under license number AP134895.

Where does Rachel Boutaugh, FNP practice?

The practice location is 1930 Medway RD, Medway, ME 04460-3166. The office can be reached at 207-794-6700 (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 1235643990 directly on the NPPES registry website.

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