Individual provider · Type 1 NPI
Matthew Jay Boutin
Psychiatric/Mental Health Nurse Practitioner · Tucson, AZ
NPI number
1104690064
Active
Practice location
6445 E 42nd St
Tucson, AZ 85730-3603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN156068 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104690064
Matthew Jay Boutin's National Provider Identifier is 1104690064, issued on Nov 10, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tucson, AZ. The record was last updated on Nov 10, 2023.