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

Individual provider Physician Assistant · NPI 1528277134

Wayne Edward Boulton, PA-C is a Physician Assistant in Las Vegas, Nevada. Licensed in Alaska and Nevada. Registered with an NPI since 2007.

Licensed in
AK, NV
In the registry since
2007
Specialties on file
2
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

2716 N Tenaya Way
Las Vegas, NV 89128-0424
Phone: (702) 877-8600
Fax: (702) 242-7944
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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 PA 1456 (NV)
Physician Assistant Taxonomy 363A00000X · Licence 730 (AK)

Record details

NPI number1528277134
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024

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