Individual
BRIANNA BOUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19 NORTHBROOK DR, FALMOUTH, ME 04105-1381
(802) 523-3054
(207) 910-9620
Mailing address
19 NORTHBROOK DR, FALMOUTH, ME 04105-1381
(802) 523-3054
(207) 910-9620
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP161075
ME
Other
Enumeration date
07/05/2016
Last updated
12/26/2024
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