CHANDEL MARIE BOUTHOT

NEWTOWN, CT
NPI1821774068
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  12091)
Enumeration Date2023-06-23
Last Update Date2024-01-26
Business Address
CHANDEL MARIE BOUTHOT FNP
164 MOUNT PLEASANT RD STE 202
NEWTOWN, CT 06470-1477
Phone number: 203-270-1016
Mailing Address
CHANDEL MARIE BOUTHOT FNP
5231 AVALON DR W
ORANGE, CT 06477-3677
Phone number:
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