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NPI Profile for HOLLY S BOUTWELL in MONTGOMERY, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal Intensive Care |
163WN0002X |
| NPI Number | 1881167047 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 01/09/2019 | |
| Last updated | 01/09/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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HOLLY S BOUTWELL
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HOLLY S BOUTWELL, RN