Individual
MS. HAYLEY KAITLIN BOULTINGHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
202 N DIVISION ST, AUBURN, WA 98001-4939
(253) 833-7711
Mailing address
202 N DIVISION ST, AUBURN, WA 98001-4939
(253) 833-7711
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
841599
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
857059
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN61323477
WA
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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