HANNAH MARIE BOUTWELL


Address: 19591 Brisbane Dr, Riverside, CA 92508-6068
Phone: 9515656590

HANNAH MARIE BOUTWELL (NPI# 1093344780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093344780
Entity Type Individual
Full Name HANNAH MARIE BOUTWELL
Practice Address 19591 Brisbane Dr
Riverside
CA 92508-6068
Practice Telephone 9515656590
Mailing Telephone 9515656590
Enumeration Date 2020-04-03
Last Update Date 2020-04-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 19591 BRISBANE DR
City RIVERSIDE
State CA
Zip Code 92508-6068

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699257121 Careconnexus, LLC Non-emergency Medical Transport (VAN) 9338 Millionaire Lane, Riverside, CA 92508 2018-08-31
1003265117 Travis William Cruz Physician Assistant 9525 Los Amigos Court, Riverside, CA 92508 2016-06-09
1043610769 Mountain Vista Medical Center General Acute Care Hospital 8168 Palm View Ln, Riverside, CA 92508 2014-08-29
1952642399 John Lawrence Bowers Marriage & Family Therapist 19900 Grove Community Drive, Riverside, CA 92508 2013-03-11
1952605248 Dennis Graves Counselor 17270 Roosevelt Ave, Riverside, CA 92508 2011-01-01
1811207632 Bekele T Haimanot Physician Assistant 9528 Los Coches Court, Riverside, CA 92508 2010-10-14
1518144625 Irene T. Zaki Dentist 20873 Grove Community Dr., Riverside, CA 92508 2008-01-31
1093902447 Edward Keith Forward Specialist 18167 Kross Rd, Riverside, CA 92508 2007-10-01
1255523593 Sopheap Tang Dentist 18876 Van Buren Blvd, Ste 107, Riverside, CA 92508 2007-08-10
1942336995 Ching-roo Chi Dentist 473 E. Allessandro Blvd., Suite A, Riverside, CA 92508 2007-02-26
Find all providers in zip 92508

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447870365 Monica Sameh Hanna Student in an Organized Health Care Education/Training Program University of California Riverside School of Medicine, 14350 Meridian Pkwy # 2, Riverside, CA 92518-3035 2020-04-21
1861011876 Monika Ellyn Garcia Student in an Organized Health Care Education/Training Program 14350 Meridian Parkway Box #2, Riverside, CA 92518 2020-04-09
1568099976 Victoria Lee Student in an Organized Health Care Education/Training Program Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 2020-03-25
1114553765 Pamela Picchi Student in an Organized Health Care Education/Training Program 111 Prescott Ave, Riverside, RI 02915-1944 2020-03-16
1538794094 Jason Washington Student in an Organized Health Care Education/Training Program 4301 La Sierra Ave Apt 50, Riverside, CA 92505-2906 2020-03-05
1144860404 Brian Jisu Shin Student in an Organized Health Care Education/Training Program 8293 Perla Dr, Riverside, CA 92504-2419 2020-01-14
1609415116 Broderich Alexander Durley Student in an Organized Health Care Education/Training Program 14235 Oakley Dr, Riverside, CA 92503-7236 2019-12-31
1861031353 Alex Tovar Student in an Organized Health Care Education/Training Program 16901 Clementine Ct, Riverside, CA 92503-6935 2019-12-31
1477192979 Gregory David White Student in an Organized Health Care Education/Training Program 7965 Los Arboles Pl, Riverside, CA 92504-3530 2019-12-31
1407497076 Guadalupe Rocha Student in an Organized Health Care Education/Training Program 10135 Hillsborough Ln, Riverside, CA 92503-1018 2019-10-03
Find all providers in RIVERSIDE

Competitor

Search similar providers

City RIVERSIDE
Zip Code 92508

Improve Information

Please comment or provide details below to improve the information on HANNAH MARIE BOUTWELL.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches