ANGELA BOUTIN LPN
NPI 1114679149
Licensed Practical Nurse in West Salem, WI

Active since January 20, 2022
120 MEADOW LN, WEST SALEM, WI 54669(608) 385-4492 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Boutin Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA BOUTIN LPN (NPI 1114679149) is an individual licensed practical nurse in West Salem, Wisconsin, licensed in Wisconsin (302098) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1114679149
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANGELA BOUTINCredential: LPN
Location Address120 MEADOW LNWest Salem, WI 54669-9263
Mailing Address120 Meadow LnWest Salem, WI 54669-9263 · (608) 385-4492
Sole ProprietorYes
Enumeration DateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
NPI 1114679149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in WI · 302098
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
120 MEADOW LN, West Salem, WI 54669

Other Names 1

Former Name (1)Angela Jean Krarup

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Boutin's NPI number?

The NPI number for Angela Boutin is 1114679149. It was assigned to this individual provider in the NPPES registry on January 20, 2022. The provider is also known as Angela Jean Krarup.

Where is Angela Boutin located?

Angela Boutin practices at 120 Meadow Ln, West Salem, WI 54669. The listed phone number is (608) 385-4492.

What is Angela Boutin's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Angela Boutin was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.