Marie R Boutin
Nurse Practitioner - Acute Care Nurse Practitioner - Family Medicine
759 Chestnut St
Springfield
, Massachusetts 01199-1619
Marie R Boutin
Nurse Practitioner - Acute Care Nurse Practitioner - Family Medicine
759 Chestnut St
Springfield
, Massachusetts 01199-1619
(413) 794-5700
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Marie R Boutin
- 280 Chestnut St 2nd Fl
- Springfield, MA
- Zip : 01199-1619
- Phone : (413) 794-5700
Second Address
- Marie R Boutin
- 759 Chestnut St
- Springfield, MA
- Zip : 01199-1619
- Fax : (413) 794-9060
- Phone : (413) 794-3233
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 229951 | MA |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 229951 | MA |
National Provider Identifier
| NPI | 1043572472 |
|---|---|
| Provider Name | Marie R Boutin |
| First Address | Springfield, MA 01199-1619 |
| Second Address | Springfield, MA 01199-1619 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2012 |
| Last Update Date | 23/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.