Individual
MS. PATRINA BOUTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
Mailing address
6501 FANNIN ST STE NC114, HOUSTON, TX 77030-2703
(713) 798-7356
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP131940
TX
367500000X
Certified Registered Nurse Anesthetist
R160952
MD
Other
Enumeration date
12/27/2012
Last updated
02/03/2023
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