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

HOLLY SUSAN BOUTWELL, RN

Active Sole Proprietor

HOLLY SUSAN BOUTWELL, RN is a Neonatal Intensive Care Nurse healthcare provider located in MONTGOMERY, Alabama. NPI 1881167047 is currently active in the NPPES registry. Verify at CMS.

Neonatal Intensive Care Nurse · MONTGOMERY, AL

Registration Details

NPI Number
1881167047
Provider Type
Individual
Gender
Female
NPI Issued
Jan 9, 2019 (7.5681642915426 yrs)
Last Updated
Jan 9, 2019
License
1-156485 (AL)
Sole Proprietor
Yes

Practice Information

Address
2105 E SOUTH BLVD
MONTGOMERY, AL, 361162409
Browse AL providers · Browse ZIP 36116
Phone
3342862823
Primary Specialty
Neonatal Intensive Care Nurse
163WN0002X
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.