Active NPIIndividual provider

Ms. Nan M Boucher, ANP

Nurse Practitioner, Gerontology in Lewiston, Maine

NPI Number1033157227
Practice location
99 Campus Ave, Suite 201, Lewiston, ME 04240-6045
Fax
207-777-8155
Last updated
November 8, 2022

Nan M Boucher is a Nurse Practitioner, Gerontology based in Lewiston, ME. Nan M Boucher practices in Lewiston, ME and has the professional credentials of ANP. The NPI Number for Nan M Boucher is 1033157227 and holds a License No. AP081044 (ME). The current practice location address for Nan M Boucher is 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 and can be reached out via phone at 207-777-8810 and via fax at 207-777-8155.

Provider Profile Details

NPI Number
1033157227
Provider Name
Nan M Boucher
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
99 Campus Ave, Suite 201, Lewiston, ME 04240-6045
Phone Number
207-777-8810
Fax Number
207-777-8155
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
June 2, 2006
Last Update Date
November 8, 2022
Certification Date
November 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
99 Campus Ave
Suite 201
Lewiston, ME 04240-6045
State
Maine
Zip
04240-6045
Phone Number
207-777-8810
Fax Number
207-777-8155
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
Po Box 95000 Lbx 7650
Philadelphia, PA 19195-0001
City
Philadelphia
State
PA
Zip
19195-0001

License Information

License Number (1)
AP081044
License State (1)
ME
Taxonomy (1)
Nurse Practitioner, Gerontology · 363LG0600X
License Number (2)
CNP81044
License State (2)
ME
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Gerontology providers near Lewiston, ME

View all Nurse Practitioner, Gerontology providers in Lewiston →

Frequently Asked Questions

What is the NPI number of Ms. Nan M Boucher, ANP?

The NPI number of Ms. Nan M Boucher, ANP is 1033157227. It was assigned on June 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Nan M Boucher, ANP?

Ms. Nan M Boucher, ANP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in ME under license number AP081044.

Where does Ms. Nan M Boucher, ANP practice?

The practice location is 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045. The office can be reached at 207-777-8810 (phone) or 207-777-8155 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033157227 directly on the NPPES registry website.

Browse related providers