Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MICHELLE LYNNE BOULTON, RPA-C
ActiveMS. MICHELLE LYNNE BOULTON, RPA-C is a Physician Assistant healthcare provider located in WATERTOWN, New York. NPI 1336167709 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WATERTOWN, NY
Registration Details
- NPI Number
- 1336167709
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2006 (20.093734902067 yrs)
- Last Updated
- Sep 29, 2020
- Licenses
-
011070-1 (NY)011070-1 (NY)
Practice Information
- Address
-
171 E. HOARD STREETWATERTOWN, NY, 136011515Browse NY providers · Browse ZIP 13601
- Phone
- 3157861767
- Fax
- 3157861856
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in WATERTOWN, NY
| Name | Credential | NPI |
|---|---|---|
| MICHAEL KENNETH MCELHERAN | PA | 1760471718 |
| MS. ERICA TINE-ROSE FEOLA | P.A. | 1104809409 |
| MS. LAURA CHATHERINE COLIHAN | RPA C | 1376520627 |
| MS. KATE ELIZABETH SYMENOW | RPA C | 1245217280 |
| MR. MICHAEL ANTHONY LETTIERE SR. | RPA-C | 1437114204 |
| MISS ALEXANDRA DAVIES | R.P.A. | 1841241148 |
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.