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Chandel Marie Bouthot, FNP
Family Nurse Practitioner in Newtown, Connecticut
NPI 1821774068

Chandel Marie Bouthot is a Family Nurse Practitioner based in Orange, CT and is specialized in Family. 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 (Connecticut).

The current practice location address for Chandel Marie Bouthot is 164 Mount Pleasant Rd Ste 202, Newtown, CT and can be reached out via phone at 203-270-1016.

Location: 164 Mount Pleasant Rd Ste 202, Newtown, CT, 06477-3677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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, 06477-3677
Phone Number
203-270-1016
Fax Number
Provider Enumeration Date
06/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
164 Mount Pleasant Rd Ste 202
City
Newtown
State
Connecticut
Zip
06470-1477
Phone Number
203-270-1016
Fax Number
person
Provider Business Mailing Address Details
Address
164 Mount Pleasant Rd Ste 202
City
Newtown
State
Connecticut
Zip
06470-1477
Phone Number
203-270-1016
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
12091 (Connecticut)
Definition
Definition to come...
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