Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FAITH BOUTTELL
Active Sole ProprietorFAITH BOUTTELL is a Podiatric Surgery healthcare provider located in WYOMING, Minnesota. NPI 1609425966 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · WYOMING, MN
Registration Details
- NPI Number
- 1609425966
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2019 (6.9382557516525 yrs)
- Last Updated
- Sep 10, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
25423 HEIMS LAKE CIRCLEWYOMING, MN, 55092Browse MN providers · Browse ZIP 55092
- Phone
- 6514901738
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Other Podiatric Surgery Providers in WYOMING, MN
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA MARIE ORDE | — | 1669013280 |
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.