Individual
MARAM M BOUTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-3300
Mailing address
23214 NORTHWOODS DR, CHUGIAK, AK 99567-5481
(602) 390-1409
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
108775
AK
363LP0200X
Pediatric Nurse Practitioner
Primary
188761
AK
Other
Enumeration date
11/13/2017
Last updated
04/10/2022
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