IndividualActive
Faith Bouttell
NPI 1609425966 · Attendant Care Provider · Wyoming, MN
Provider details
- NPI number
- 1609425966
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
25423 Heims Lake Circle
Wyoming, MN 55092
Phone: (651) 490-1738
Approximate (ZIP-level) locationGet directions
Mailing address
25423 Heims Lake Circle
Wyoming, MN 55092
Registry dates
- Enumerated
- 2019-09-10
- Last updated
- 2019-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.