Individual provider · Type 1 NPI

Chandel Marie Bouthot, FNP

Family Nurse Practitioner · Newtown, CT

NPI number 1821774068 Active

Practice location

164 Mount Pleasant Rd Ste 202
Newtown, CT 06470-1477

Call (203) 270-1016 Map

Mailing address

5231 Avalon Dr W
Orange, CT 06477-3677

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X12091 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1821774068

Chandel Marie Bouthot, FNP's National Provider Identifier is 1821774068, issued on Jun 23, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newtown, CT. The record was last updated on Jan 26, 2024.