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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CIERRA JEAN BOUTELLE

Active Sole Proprietor

CIERRA JEAN BOUTELLE is a Student (Health Education/Training) healthcare provider located in OSHKOSH, Wisconsin. NPI 1164137972 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · OSHKOSH, WI

Registration Details

NPI Number
1164137972
Provider Type
Individual
Gender
Female
NPI Issued
Jan 16, 2023 (3.3929343395071 yrs)
Last Updated
Jan 16, 2023
Sole Proprietor
Yes

Practice Information

Address
4391 SODA CREEK RD APT 4
OSHKOSH, WI, 549011149
Browse WI providers · Browse ZIP 54901
Phone
6082903418
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in OSHKOSH, WI

Name Credential NPI
DR. ERIKA VAN LAARHOVEN 1265725220
BRANDON YACH 1083006209
BRANDON NEUBER 1497123004
JENNIFER HANSON MD, RN 1922670702
HEATHER HAWK 1588441901
MATTHEW DAVID HOLST BS, CSCS 1376304659
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.