Search › Nevada › 363A00000X
Wayne Boulton, PA-C
NPI 1528277134 · on the registry since 2007
Practice
- Address
- 2716 N Tenaya Way
Las Vegas, NV 89128 - Phone
- (702) 877-8600
- Fax
- (702) 242-7944
- Organisation at this address
- Sierra Health And Life Insurance Co.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- AK, NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada