COURTNEY LEIGH BOUCKE N.P. NPI 1831433119

NPI Information

NPI: 1831433119
Provider Name: COURTNEY LEIGH BOUCKE, N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
300 SIERRA COLLEGE DR
170
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 273-4376
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Courtney Leigh Boucke, N.P. is an adult health nurse practitioner in Grass Valley, CA with 13 years of experience. Courtney Leigh Boucke, N.P. NPI is 1831433119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 SIERRA COLLEGE DR
170
GRASS VALLEY, CA
ZIP 95945-082
Phone: (530) 273-4376

The NPI 1831433119 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/26/2012 and was last updated on 2/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	20879	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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