Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Michelle Lynne Boulton, RPA-C

Individual provider Surgical Physician Assistant · NPI 1336167709

MS. Michelle Lynne Boulton, RPA-C is a Surgical Physician Assistant in Watertown, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

171 E Hoard St
Watertown, NY 13601-1515
Phone: (315) 786-1767
Fax: (315) 786-1856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011070-1 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 011070-1 (NY)

Record details

NPI number1336167709
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020

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