IndividualActive
Andrea Boulton
NPI 1730034646 · Registered Nurse · Taylor, MI
Provider details
- NPI number
- 1730034646
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sole proprietor
- No
- License
- 4704366309 (MI)
Mailing address
15212 Troy St
Taylor, MI 48180-7701
Registry dates
- Enumerated
- 2026-03-04
- Last updated
- 2026-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.