Individual
ASHLEY AREN SMITH-BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, R.N.
Contact information
Practice address
100 BOSTON RD, GROTON, MA 01450-1879
(978) 448-4300
(978) 448-4040
Mailing address
100 BOSTON RD, GROTON, MA 01450-1879
(978) 448-4300
(978) 448-4040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2284089
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2284089
MA
363LW0102X
Women's Health Nurse Practitioner
RN2284089
MA
Other
Enumeration date
08/11/2014
Last updated
08/04/2016
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