Marcella Bouton, RN

Individual provider Active NPI Registered Nurse · Amsterdam, NY

NPI 1790632297 · NPPES record last updated Mar 13, 2026

Key facts

NPI
1790632297
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
465313-01 (NY)
Practice address
427 Guy Park Ave
Amsterdam, NY 12010-1064
Phone
(518) 842-1900
NPI assigned
Mar 13, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
465313-01NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 465313-01 NY Yes

Addresses

Primary practice location

427 Guy Park Ave
Amsterdam, NY 12010-1064

Mailing address

501 McQueen Rd
Amsterdam, NY 12010-6343
Phone (518) 842-1900

Other providers in Amsterdam, NY

All providers in Amsterdam, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.