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

Nicole Boughton

Individual provider Community Health Worker · NPI 1902362817

Nicole Boughton is a Community Health Worker in San Luis Obispo, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

2180 Johnson Ave
San Luis Obispo, CA 93401-4558
Phone: (805) 781-4275
Fax: (805) 781-4297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1902362817
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 15, 2019
Last updated in NPPESFebruary 15, 2019

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