Individual provider · Type 1 NPI

Cindy Irene Boutilier, APRN

Nurse Practitioner · New Haven, CT

NPI number 1710280136 Active

Practice location

20 York Street Cb 2041, Northeast Medical Group
New Haven, CT 06510

Call (203) 688-4748 Map

Fax (203) 688-4740

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X004582 (CT)
Registered Nurse 163W00000X77555 (CT)

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 1710280136

Cindy Irene Boutilier, APRN's National Provider Identifier is 1710280136, issued on Dec 7, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New Haven, CT. The record was last updated on Aug 17, 2015.