Individual provider · Type 1 NPI
Betty Ann Boutwell, LPN
Licensed Practical Nurse · Dublin, GA
NPI number
1023095056
Active
Practice location
2121A Bellevue Rd
Dublin, GA 31021-2998
Fax (478) 275-6509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | P018625 (GA) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1023095056
Betty Ann Boutwell, LPN's National Provider Identifier is 1023095056, issued on Dec 30, 2005. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dublin, GA. The record was last updated on Jul 13, 2026.