MS. NICOLE LYNN BOUCHER CPNP-PC NPI 1659674182

NPI Information

NPI: 1659674182
Provider Name: MS. NICOLE LYNN BOUCHER, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
136 KISSANE AVE
SUITE A
BRIGHTON, MI
ZIP 48116
Phone: (810) 229-7337
Get Directions

MS. Nicole Lynn Boucher, CPNP-PC is a pediatrics nurse practitioner in Brighton, MI. MS. Nicole Lynn Boucher, CPNP-PC NPI is 1659674182. 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:

136 KISSANE AVE
SUITE A
BRIGHTON, MI
ZIP 48116-467
Phone: (810) 229-7337

The enumeration date for this NPI number is 12/5/2010 and was last updated on 12/5/2010.

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	363LP0200X	Nurse Practitioner	Pediatrics	4704195198	MICHIGAN	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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