Angela Boutin, LPN
NPI #1114679149 in West Salem, Wisconsin
Provider Information
- NPI Number
- 1114679149
- Entity Type
- Individual
- Name
- Angela Boutin, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jan 20, 2022
- Last Updated
- Jan 20, 2022
Practice Location
- Address
- 120 MEADOW LN
- City
- West Salem
- State
- Wisconsin
- ZIP Code
- 54669-9263
- Phone
- (608) 385-4492
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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