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Individual

ANGELA BOUTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
3350 STATE ROUTE 138 STE 117, WALL TOWNSHIP, NJ 07719-9694
(732) 280-2727
Mailing address
3350 STATE ROUTE 138 STE 117, WALL TOWNSHIP, NJ 07719-9694
(732) 280-2727

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01325000
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ01325000
NJ
363LF0000X
Family Nurse Practitioner
26NJ01325000
NJ
363LW0102X
Women's Health Nurse Practitioner
26NJ01325000
NJ
363LX0106X
Occupational Health Nurse Practitioner
26NJ01325000
NJ

Other

Enumeration date
04/11/2022
Last updated
07/17/2025
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