Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE BOUGHTON
Active Sole ProprietorNICOLE BOUGHTON is a Community Health Worker healthcare provider located in SAN LUIS OBISPO, California. NPI 1902362817 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · SAN LUIS OBISPO, CA
Registration Details
- NPI Number
- 1902362817
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2019 (7.5088010741928 yrs)
- Last Updated
- Feb 15, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
2180 JOHNSON AVESAN LUIS OBISPO, CA, 934014558Browse CA providers · Browse ZIP 93401
- Phone
- 8057814275
- Fax
- 8057814297
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in SAN LUIS OBISPO, CA
| Name | Credential | NPI |
|---|---|---|
| MARISSA RYAN | — | 1881890382 |
| MR. DAVID B. LUDWIG | — | 1982889382 |
| DR. STEPHEN JOSEPH PITTELLI | M.D. | 1205071933 |
| ARACELI DIAZ | — | 1649582719 |
| ELBA M VASQUEZ | — | 1013222504 |
| MR. GERRY B HORTILLOSA | — | 1609181676 |
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.