Chandel M Bouthot, FNP
Nurse Practitioner, Family in Newtown, Connecticut
1821774068- Practice location
- 164 Mount Pleasant RD Ste 202, Newtown, CT 06470-1477
- Phone
- 203-270-1016
- Fax
- —
- Last updated
- January 26, 2024
Chandel Marie Bouthot is a Nurse Practitioner, Family based in Newtown, CT. Chandel Marie Bouthot practices in Newtown, CT and has the professional credentials of FNP. The NPI Number for Chandel Marie Bouthot is 1821774068 and holds a License No. 12091 (CT). The current practice location address for Chandel Marie Bouthot is 164 Mount Pleasant RD Ste 202, Newtown, CT 06470-1477 and can be reached out via phone at 203-270-1016.
Provider Profile Details
- NPI Number
- 1821774068
- Provider Name
- Chandel Marie Bouthot
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 164 Mount Pleasant RD Ste 202, Newtown, CT 06470-1477
- Phone Number
- 203-270-1016
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 23, 2023
- Last Update Date
- January 26, 2024
- Certification Date
- January 26, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 164 Mount Pleasant RD Ste 202
Newtown, CT 06470-1477 - City
- Newtown
- State
- Connecticut
- Zip
- 06470-1477
- Phone Number
- 203-270-1016
Provider Business Mailing Address Details
- Address
- 5231 Avalon Dr W
Orange, CT 06477-3677 - City
- Orange
- State
- CT
- Zip
- 06477-3677
License Information
- License Number
- 12091
- License State
- CT
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · 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 Chandel M Bouthot, FNP?
The NPI number of Chandel M Bouthot, FNP is 1821774068. It was assigned on June 23, 2023 and is currently active in the NPPES registry.
What is the specialty of Chandel M Bouthot, FNP?
Chandel M Bouthot, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 12091.
Where does Chandel M Bouthot, FNP practice?
The practice location is 164 Mount Pleasant RD Ste 202, Newtown, CT 06470-1477. The office can be reached at 203-270-1016 (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 1821774068 directly on the NPPES registry website.