Individual
ANICIA BOUTIN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
55 ST GEORGE RD, SPRINGFIELD, MA 01104
(413) 736-7463
(413) 736-7466
Mailing address
163 BILTON RD, SOMERS, CT 06071-1067
(860) 306-9717
(860) 763-4111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
049381
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
RN197541
MA
Other
Enumeration date
08/16/2006
Last updated
03/29/2013
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