IndividualActive
Angela Boutin, LPN
NPI 1114679149 · Licensed Practical Nurse · West Salem, WI
Provider details
- NPI number
- 1114679149
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 302098 (WI)
Mailing address
120 Meadow Ln
West Salem, WI 54669-9263
Registry dates
- Enumerated
- 2022-01-20
- Last updated
- 2022-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.