NPI 1194313080

Michelle Boutin, PA

Practitioner Surgical Physician Assistant Auburn, ME

Practice location

Address: 15 Gracelawn Rd STE 101, Auburn, ME 04210-6347
Phone: (207) 333-4710
Fax: (207) 333-4715
Mailing address: PO Box 95000 Lbx 7650, Philadelphia, PA 19195-0001

Registered specialties (3)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

Other Physician Assistant providers in Maine →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Registry record

NPI: 1194313080
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jan 2021
Record last updated: 8 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.