Active NPIIndividual provider

Nan J Boucher, FNP

Nurse Practitioner, Family in Freeport, Maine

NPI Number1568488419
Practice location
50 Marquis RD, Freeport, ME 04032-6477
Fax
207-865-9399
Last updated
November 26, 2014

Nan J Boucher is a Nurse Practitioner, Family based in Freeport, ME. Nan J Boucher practices in Freeport, ME and has the professional credentials of FNP. The NPI Number for Nan J Boucher is 1568488419 and holds a License No. R028338 (ME). The current practice location address for Nan J Boucher is 50 Marquis RD, Freeport, ME 04032-6477 and can be reached out via phone at 207-865-6131 and via fax at 207-865-9399.

Provider Profile Details

NPI Number
1568488419
Provider Name
Nan J Boucher
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
50 Marquis RD, Freeport, ME 04032-6477
Phone Number
207-865-6131
Fax Number
207-865-9399
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
July 14, 2006
Last Update Date
November 26, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Marquis RD
Freeport, ME 04032-6477
State
Maine
Zip
04032-6477
Phone Number
207-865-6131
Fax Number
207-865-9399
Freeport, ME 04032Get directions →

Provider Business Mailing Address Details

Address
39 Wallace Ave
So Portland, ME 04106-6143
City
So Portland
State
ME
Zip
04106-6143
Phone Number
207-761-0650
Fax Number
207-761-8198

License Information

License Number
R028338
License State
ME
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Nan J Boucher, FNP?

The NPI number of Nan J Boucher, FNP is 1568488419. It was assigned on July 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Nan J Boucher, FNP?

Nan J Boucher, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number R028338.

Where does Nan J Boucher, FNP practice?

The practice location is 50 Marquis RD, Freeport, ME 04032-6477. The office can be reached at 207-865-6131 (phone) or 207-865-9399 (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 1568488419 directly on the NPPES registry website.

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