Individual provider · Type 1 NPI
Holly Susan Boutwell, RN
Neonatal Intensive Care Registered Nurse · Montgomery, AL
NPI number
1881167047
Active
Practice location
2105 E South Blvd
Montgomery, AL 36116-2409
Mailing address
1535 County Road 37
Fitzpatrick, AL 36029-2909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Intensive Care Registered Nurse Primary | 163WN0002X | 1-156485 (AL) |
Neonatal Intensive Care Registered Nurse: Definition to come...
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About NPI 1881167047
Holly Susan Boutwell, RN's National Provider Identifier is 1881167047, issued on Jan 9, 2019. The primary taxonomy on file is Neonatal Intensive Care Registered Nurse (163WN0002X), and the practice location is in Montgomery, AL. The record was last updated on Jan 9, 2019.