Individual
RACHEL BOUTAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1930 MEDWAY RD, MEDWAY, ME 04460-3166
(207) 794-6700
Mailing address
1930 MEDWAY RD, MEDWAY, ME 04460-3166
(207) 794-6700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP134895
TX
363LF0000X
Family Nurse Practitioner
Primary
CNP241177
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382658801
—
TX
05
—
382658802
—
TX
Enumeration date
11/16/2017
Last updated
03/24/2025
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