Individual provider · Type 1 NPI

Nancy E. Boutin, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Woburn, MA

NPI number 1063177004 Active

Practice location

12 Alfred St Ste 200
Woburn, MA 01801-1915

Mailing address

255 4th Ave
Lowell, MA 01854-2442

Other practice locations

  • 255 4th Ave, Lowell, MA 01854-2442 · (978) 502-1302

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN2277518 (MA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN2277518 (MA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1063177004

Nancy E. Boutin, PMHNP's National Provider Identifier is 1063177004, issued on Nov 4, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Woburn, MA. The record was last updated on Mar 21, 2022.