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Anna A. Boutwell
Family Nurse Practitioner in Soldotna, Alaska
NPI 1558681734

Anna A. Boutwell is a Family Nurse Practitioner based in Soldotna, AK and is specialized in Family. Anna A. Boutwell practices in Soldotna, AK. The NPI Number for Anna A. Boutwell is 1558681734 and holds a License No. 1158 (Alaska).

The current practice location address for Anna A. Boutwell is 247 N Fireweed St Ste A, Soldotna, AK and can be reached out via phone at 907-262-8597 and via fax at 907-262-6516.

Location: 247 N Fireweed St Ste A, Soldotna, AK, 99669-7593
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558681734
Provider Name
Anna A. Boutwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
247 N Fireweed St Ste A, Soldotna, AK, 99669-7593
Phone Number
907-262-8597
Fax Number
907-262-6516
Provider Enumeration Date
06/10/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
CE1671 01 AK RAILROAD MEDICARE
NP01136 05 AK
institution
Provider Business Practice Location Address Details
Address
247 N Fireweed St Ste A
City
Soldotna
State
Alaska
Zip
99669-7593
Phone Number
907-262-8597
Fax Number
907-262-6516
person
Provider Business Mailing Address Details
Address
247 N Fireweed St Ste A
City
Soldotna
State
Alaska
Zip
99669-7593
Phone Number
907-262-8597
Fax Number
907-262-6516
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1158 (Alaska)
Definition
Definition to come...
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