Individual provider · Type 1 NPI
Heather Bernice Boulting, ACNPC-AG
Nurse Practitioner · Palo Alto, CA
Practice location
875 Blake Wilbur Dr
Palo Alto, CA 94304-2205
Mailing address
3025 Argonaut Ave
Rocklin, CA 95677-1820
Other practice locations
- 1700 Coffee Rd, Modesto, CA 95355-2803 · (530) 320-8040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95010323 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1043783830
Heather Bernice Boulting, ACNPC-AG's National Provider Identifier is 1043783830, issued on Jan 4, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Palo Alto, CA. The record was last updated on Jun 17, 2020.