person
Ms. Nan M Boucher, ANP
Gerontology Nurse Practitioner in Lewiston, Maine
NPI 1033157227

Nan M Boucher is a Gerontology Nurse Practitioner based in Philadelphia, ME and is specialized in Gerontology. 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 (Maine).

The current practice location address for Nan M Boucher is 99 Campus Ave, Lewiston, ME and can be reached out via phone at 207-777-8810 and via fax at 207-777-8155. You can also correspond with Nan M Boucher through the mailing address at PO BOX 95000 LBX 7650, PHILADELPHIA, PA - 19195-0001 (mailing address contact number: ).

Location: 99 Campus Ave, Lewiston, ME, 19195-0001
person
Provider Profile Details
NPI Number
1033157227
Provider Name
Nan M Boucher
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
99 Campus Ave, Lewiston, ME, 19195-0001
Phone Number
207-777-8810
Fax Number
207-777-8155
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30347091 05 NH
432184299 05 ME
institution
Provider Business Practice Location Address Details
Address
99 Campus Ave
City
State
Zip
04240-6045
Phone Number
207-777-8810
Fax Number
207-777-8155
person
Provider Business Mailing Address Details
Address
Po Box 95000 Lbx 7650
City
State
Zip
19195-0001
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
AP081044 (Maine)
Definition
Definition to come...
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