Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELA BOUTIN, LPN
Active Sole ProprietorANGELA BOUTIN, LPN is a Licensed Practical Nurse healthcare provider located in WEST SALEM, Wisconsin. NPI 1114679149 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · WEST SALEM, WI
Registration Details
- NPI Number
- 1114679149
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 20, 2022 (4.5439424549026 yrs)
- Last Updated
- Jan 20, 2022
- License
-
302098 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 MEADOW LNWEST SALEM, WI, 546699263Browse WI providers · Browse ZIP 54669
- Phone
- 6083854492
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.