Emmanuel Bouloute, NP
Nurse Practitioner in Dorchester, Massachusetts
1942608674- Practice location
- 637 Washington St, Dorchester, MA 02124-3510
- Phone
- 617-825-9660
- Fax
- 617-288-7898
- Last updated
- December 11, 2014
Emmanuel Bouloute is a Nurse Practitioner based in Dorchester, MA. Emmanuel Bouloute practices in Dorchester, MA and has the professional credentials of NP. The NPI Number for Emmanuel Bouloute is 1942608674 and holds a License No. RN2284528 (MA). The current practice location address for Emmanuel Bouloute is 637 Washington St, Dorchester, MA 02124-3510 and can be reached out via phone at 617-825-9660 and via fax at 617-288-7898.
Provider Profile Details
- NPI Number
- 1942608674
- Provider Name
- Emmanuel Bouloute
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 637 Washington St, Dorchester, MA 02124-3510
- Phone Number
- 617-825-9660
- Fax Number
- 617-288-7898
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 11, 2014
- Last Update Date
- December 11, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 637 Washington St
Dorchester, MA 02124-3510 - City
- Dorchester
- State
- Massachusetts
- Zip
- 02124-3510
- Phone Number
- 617-825-9660
- Fax Number
- 617-288-7898
Provider Business Mailing Address Details
- Address
- 637 Washington St
Dorchester, MA 02124-3510 - City
- Dorchester
- State
- MA
- Zip
- 02124-3510
- Phone Number
- 617-825-9660
- Fax Number
- 617-288-7898
License Information
- License Number
- RN2284528
- License State
- MA
- Taxonomy
- Nurse Practitioner · 363L00000X · 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 Emmanuel Bouloute, NP?
The NPI number of Emmanuel Bouloute, NP is 1942608674. It was assigned on December 11, 2014 and is currently active in the NPPES registry.
What is the specialty of Emmanuel Bouloute, NP?
Emmanuel Bouloute, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2284528.
Where does Emmanuel Bouloute, NP practice?
The practice location is 637 Washington St, Dorchester, MA 02124-3510. The office can be reached at 617-825-9660 (phone) or 617-288-7898 (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 1942608674 directly on the NPPES registry website.