Individual provider · Type 1 NPI
Kristan Marie Boutwell, RN, CPNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1801174529
Active
Practice location
300 Longwood Ave, Main Building, 7 North Nicu
Boston, MA 02115-5724
Fax (617) 730-0902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN259832 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1801174529
Kristan Marie Boutwell, RN, CPNP's National Provider Identifier is 1801174529, issued on Jul 29, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Jul 29, 2011.