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Individual

MS. NANCY E BOUTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
12 ALFRED ST STE 200, WOBURN, MA 01801-1915
(781) 646-0500
Mailing address
255 4TH AVE, LOWELL, MA 01854-2442
(978) 502-1302

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2277518
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2277518
MA

Other

Enumeration date
11/04/2021
Last updated
03/21/2022
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