IndividualActive
Maram Boutwell, APRN
NPI 1336652338 · Pediatric Nurse Practitioner · Anchorage, AK
Provider details
- NPI number
- 1336652338
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 188761 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
4320 Diplomacy Dr
Anchorage, AK 99508-5925
Phone: (907) 729-3300
Approximate (ZIP-level) locationGet directions
Mailing address
23214 Northwoods Dr
Chugiak, AK 99567-5481
Registry dates
- Enumerated
- 2017-11-13
- Last updated
- 2022-04-10
- Certified
- 2022-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.