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

Individual provider Physician Assistant · NPI 1295970515

Stephanie Boulter, PA-C is a Physician Assistant in Cottonwood Heights, Utah. Qualified in 2008, 18 years ago. Registered with an NPI since 2008.

Years since qualifying
18
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1265 E Fort Union Blvd Ste 120
Cottonwood Heights, UT 84047-1845
Phone: (801) 917-5561
Fax: (800) 775-1064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1295970515
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 16, 2008
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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