Individual
MARIE R BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1619
(413) 794-3233
(413) 794-9060
Mailing address
280 CHESTNUT ST, 2ND FL, SPRINGFIELD, MA 01199-1619
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
229951
MA
363LF0000X
Family Nurse Practitioner
229951
MA
Other
Enumeration date
06/12/2012
Last updated
04/23/2019
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