Physician Assistant
WAYNE BOULTON PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1528277134 · enumerated 2007-05-21 · record updated 2024-12-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 35380, LAS VEGAS, NV, 89133-5380 (702) 383-6210 Fax (702) 435-7050 Google Maps Apple Maps OpenStreetMap
- Practice location 2716 N TENAYA WAY, LAS VEGAS, NV, 89128-0424 (702) 877-8600 Fax (702) 242-7944 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 730 AK
- Physician Assistant 363A00000X · Primary · License PA 1456 NV
In this directory
Locations and evidence
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Practice location
LAS VEGAS, NV, 891280424
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.