NPI 1164503413 · live from the CMS NPI Registry
Anthony A Bouldin, MD
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Seattle, WA. National Provider Identifier 1164503413, active.
NPI record
| NPI | 1164503413 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 600 Broadway Ste 400, Seattle, WA 98122 |
| Practice phone | 206-215-1440 |
| Mailing address | Po Box 25608, Salt Lake City, UT 84125 |
| Enumerated | October 17, 2006 |
| Last updated | March 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | MD00042649 (WA) |
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | MD00042649 (WA) |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | MD00042649 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.