Kellieanne T Boutilier, RN
Registered Nurse in Middleboro, Massachusetts
1992902316- Practice location
- 127 Plympton St, Middleboro, MA 02346-2609
- Phone
- 508-946-6906
- Fax
- —
- Last updated
- July 8, 2007
Kellieanne T Boutilier is a Registered Nurse based in Middleboro, MA. Kellieanne T Boutilier practices in Middleboro, MA and has the professional credentials of RN. The NPI Number for Kellieanne T Boutilier is 1992902316 and holds a License No. 274450 (MA). The current practice location address for Kellieanne T Boutilier is 127 Plympton St, Middleboro, MA 02346-2609 and can be reached out via phone at 508-946-6906.
Provider Profile Details
- NPI Number
- 1992902316
- Provider Name
- Kellieanne T Boutilier
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 127 Plympton St, Middleboro, MA 02346-2609
- Phone Number
- 508-946-6906
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 29, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 127 Plympton St
Middleboro, MA 02346-2609 - City
- Middleboro
- State
- Massachusetts
- Zip
- 02346-2609
- Phone Number
- 508-946-6906
Provider Business Mailing Address Details
- Address
- 127 Plympton St
Middleboro, MA 02346-2609 - City
- Middleboro
- State
- MA
- Zip
- 02346-2609
- Phone Number
- 508-946-6906
License Information
- License Number (1)
- 274450
- License State (1)
- MA
- Taxonomy (1)
- Registered Nurse · 163W00000X · Primary
- License Number (2)
- RN44317
- License State (2)
- RI
- Taxonomy (2)
- Registered Nurse · 163W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Registered Nurses near Middleboro, MA
View all Registered Nurses in Middleboro →Frequently Asked Questions
What is the NPI number of Kellieanne T Boutilier, RN?
The NPI number of Kellieanne T Boutilier, RN is 1992902316. It was assigned on June 29, 2007 and is currently active in the NPPES registry.
What is the specialty of Kellieanne T Boutilier, RN?
Kellieanne T Boutilier, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number 274450.
Where does Kellieanne T Boutilier, RN practice?
The practice location is 127 Plympton St, Middleboro, MA 02346-2609. The office can be reached at 508-946-6906 (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 1992902316 directly on the NPPES registry website.