Individual
JULIE BOUTHILLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1910 WASHINGTON AVE APT 114, SAINT LOUIS, MO 63103-1604
(608) 780-8134
Mailing address
1910 WASHINGTON AVE APT 114, SAINT LOUIS, MO 63103-1604
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
158025
IA
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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