Individual
CAMRYN Y BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3640 MAIN ST STE 207, SPRINGFIELD, MA 01107-1192
(413) 739-0669
(413) 739-0621
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9438
MA
363AM0700X
Medical Physician Assistant
Primary
PA9438
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2022
Last updated
05/15/2026
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