Individual provider · Type 1 NPI
Michele A. Boutilier, LHIS
Specialist · Kill Devil Hills, NC
NPI number
1609062793
Active
Practice location
2400 N. Croatoan Hwy, Suite G
Kill Devil Hills, NC 27948
Fax (252) 441-2595
Mailing address
128 Acorn Lane
Point Harbor, NC 27964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 1003 (NC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1609062793
Michele A. Boutilier, LHIS's National Provider Identifier is 1609062793, issued on Sep 21, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kill Devil Hills, NC. The record was last updated on Feb 25, 2015.