Boutwell, Anna A.

Boutwell, Anna A. is an individual health care provider with primary practice located at 247 N Fireweed St Ste A , Soldotna AK 99669-7593. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boutwell, Anna A. can be contacted via phone (907) 262-8597.

Contact Information

Primary practice address
247 N Fireweed St Ste A Soldotna AK 99669-7593
Phone: (907) 262-8597
Fax: (907) 262-6516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1158 Alaska

Profile Details

NPI number 1558681734
LBN Legal business name Boutwell, Anna A.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2010
Last updated Jul 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558681734 NPPES
Alaska Other CE1671 RAILROAD MEDICARE
Alaska MEDICAID NP01136 RAILROAD MEDICARE

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