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NPI Code Detail

MEDICARE: ELIZABETH BOUTIN MCGRATH APRN-C

MEDICARE: ELIZABETH BOUTIN MCGRATH APRN-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner1010012591VT
2363L00000XNurse Practitioner020476-23NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912005406
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH BOUTIN MCGRATH APRN-C
Provider Business Mailing Address
First Line : 240 S MAIN ST
Second Line :
City : WOLFEBORO
State : NH
Zip : 03894-4455
Country : US
Telephone Number : 603-569-7000
Fax Number : 603-569-5756
Provider Business Practice Location Address
First Line : 240 S MAIN ST
Second Line :
City : WOLFEBORO
State : NH
Zip : 03894-4455
Country : US
Telephone Number : 603-569-7000
Fax Number : 603-569-7564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 08/28/2025

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