Individual
JOAN BOUTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
172 KINSLEY ST, NASHUA, NH 03060-3648
(603) 882-3000
(603) 578-5023
Mailing address
172 KINSLEY ST, NASHUA, NH 03060-3648
(603) 882-3000
(603) 578-5023
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
024640-23
NH
Other
Enumeration date
10/06/2009
Last updated
01/22/2013
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