AMY LINNEA BOUTELLE RN WHNP NPI 1609117704

NPI Information

NPI: 1609117704
Provider Name: AMY LINNEA BOUTELLE, RN, WHNP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
200 W ARBOR DR
SAN DIEGO, CA
ZIP 92103
Phone: (800) 926-8273
Get Directions

Amy Linnea Boutelle, RN, WHNP is an obstetrics and gynecology nurse practitioner in San Diego, CA with 12 years of experience. Amy Linnea Boutelle, RN, WHNP NPI is 1609117704. 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:

200 W ARBOR DR
SAN DIEGO, CA
ZIP 92103
Phone: (800) 926-8273

The NPI 1609117704 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 3/14/2013 and was last updated on 9/20/2019.

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	363L00000X	Nurse Practitioner		NP95000140	CALIFORNIA	No
2	363LW0102X	Nurse Practitioner	Women's Health	NP95000140	CALIFORNIA	No
3	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	NP95000140	CALIFORNIA	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: 4/28/2024

NPI Synchronization or Removal

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