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

KELLIEANNE T BOUTILIER, RN

Active Sole Proprietor

KELLIEANNE T BOUTILIER, RN is a Registered Nurse healthcare provider located in MIDDLEBORO, Massachusetts. NPI 1992902316 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · MIDDLEBORO, MA

Registration Details

NPI Number
1992902316
Provider Type
Individual
Gender
Female
NPI Issued
Jun 29, 2007 (19.160699640682 yrs)
Last Updated
Jul 8, 2007
Licenses
274450 (MA)
RN44317 (RI)
Sole Proprietor
Yes

Practice Information

Address
127 PLYMPTON ST
MIDDLEBORO, MA, 023462609
Browse MA providers · Browse ZIP 02346
Phone
5089466906
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Registered Nurse

Other Registered Nurse Providers in MIDDLEBORO, MA

Name Credential NPI
MRS. DOROTHY ANNA POWERS RN 1073785721
KELLEY MOQUIN 1952118937
CALEIGH LAVERTY 1881561082
GRACE MAGUIRE RN 1356210280
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.