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Contact Information

MELODY L BOULTON, PMHCNS-BC
413 LUDLOW ST
PORTLAND, ME04102-1544
 Phone: 207-871-0013
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for MELODY L BOULTON · (Female)

NPI Number 1013931492
Credentials PMHCNS-BC
Entity Individual
Enumeration date 07/27/2006
Last updated 03/05/2013 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
ME License # R026582
ME Medicaid 299140099
ME Medicare PIN NS8009
Hospital affiliation(s) 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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