Individual provider · Type 1 NPI

Michelle J. Bouley, PA-C

Surgical Physician Assistant · Peabody, MA

NPI number 1871910364 Active

Practice location

1 Orthopedics Dr, 2nd Floor
Peabody, MA 01960-1668

Call (978) 818-6350 Map

Fax (978) 854-4811

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA4987 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1871910364

Michelle J. Bouley, PA-C's National Provider Identifier is 1871910364, issued on Mar 24, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Peabody, MA. The record was last updated on Sep 25, 2017.