Individual
MRS. KARA ELLIOTT BOUTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3 MOBILE INFIRMARY CIR, SUITE 302B, MOBILE, AL 36607-3520
(251) 607-5400
Mailing address
3 MOBILE INFIRMARY CIR, SUITE 302B, MOBILE, AL 36607-3520
(251) 607-5400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1073518
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I502361
MEDICARE PTAN
AL
05
—
213895
—
AL
01
—
P02566962
RAILROAD MEDICARE
AL
Enumeration date
07/29/2014
Last updated
10/27/2021
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