Boulton, Martha

Boulton, Martha is an individual health care provider with primary practice located at 468 Post Rd E , Westport CT 06880-4441. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Boulton, Martha can be contacted via phone (203) 454-0505.

Contact Information

Primary practice address
468 Post Rd E Westport CT 06880-4441
Phone: (203) 454-0505
Fax: (203) 454-1115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 001537 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X E35094 Connecticut

Profile Details

NPI number 1538255880
LBN Legal business name Boulton, Martha
Credentials APRN, BC, MS, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Nov 16th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538255880 NPPES
Connecticut Other 400001537CT02 ANTHEM
Connecticut Other 196843 ANTHEM
Connecticut Other 0007936120 ANTHEM
Connecticut Other 2083862 ANTHEM

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