MARIE R BOUTIN NP NPI 1043572472

NPI Information

NPI: 1043572472
Provider Name: MARIE R BOUTIN, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: DISPATCHHEALTH MASSACHUSETTS PC

PECOS Registration: Yes

Address:
759 CHESTNUT ST
SPRINGFIELD, MA
ZIP 01199
Phone: (413) 794-3233
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Marie R Boutin, NP is an acute care nurse practitioner in Springfield, MA with 12 years of experience. Marie R Boutin, NP NPI is 1043572472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

759 CHESTNUT ST
SPRINGFIELD, MA
ZIP 01199-619
Phone: (413) 794-3233
Fax: (413) 794-9060

The NPI 1043572472 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2012 and was last updated on 4/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	229951	MASSACHUSETTS	No
2	363LA2100X	Nurse Practitioner	Acute Care	229951	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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