- Practice location
- 716 Stevens Ave, Portland, ME 04103-2656
- Phone
- 207-221-4529
- Fax
- —
- Last updated
- January 9, 2026
Nathan Boucher is a Student in an Organized Health Care Education/Training Program based in Portland, ME. Nathan Boucher practices in Portland, ME. The NPI Number for Nathan Boucher is 1356208391. The current practice location address for Nathan Boucher is 716 Stevens Ave, Portland, ME 04103-2656 and can be reached out via phone at 207-221-4529.
Provider Profile Details
- NPI Number
- 1356208391
- Provider Name
- Nathan Boucher
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 716 Stevens Ave, Portland, ME 04103-2656
- Phone Number
- 207-221-4529
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 9, 2026
- Last Update Date
- January 9, 2026
- Certification Date
- January 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 716 Stevens Ave
Portland, ME 04103-2656 - City
- Portland
- State
- Maine
- Zip
- 04103-2656
- Phone Number
- 207-221-4529
Provider Business Mailing Address Details
- Address
- 716 Stevens Ave
Portland, ME 04103-2656 - City
- Portland
- State
- ME
- Zip
- 04103-2656
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Portland, ME
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- Angela N BalaoingStudent in an Organized Health Care Education/Training Program · NPI 1467308817
- Anna S Bouck, MDStudent in an Organized Health Care Education/Training Program · NPI 1548919913
- Annabelle Batten, MDStudent in an Organized Health Care Education/Training Program · NPI 1710689088
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Frequently Asked Questions
What is the NPI number of Nathan Boucher?
The NPI number of Nathan Boucher is 1356208391. It was assigned on January 9, 2026 and is currently active in the NPPES registry.
What is the specialty of Nathan Boucher?
Nathan Boucher is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Nathan Boucher practice?
The practice location is 716 Stevens Ave, Portland, ME 04103-2656. The office can be reached at 207-221-4529 (phone).
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 1356208391 directly on the NPPES registry website.