National Provider Identifier Database

CYNTHIA M BOULTON, NP – NPI #1750397238
Family


Contact Information

CYNTHIA M BOULTON, NP
7272 W POTOMAC DR
BOISE, ID83704-9149
Phone: 208-884-2922
Fax: 208-463-3044
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for CYNTHIA M BOULTON

NPI Number 1750397238
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 08/01/2006
Last updated 04/08/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • ID License #: NP-1122A
  • UT License #: 4874524-4405
  • ID Medicaid: 1750397238
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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