Miryam A Boucher, NP-C
Nurse Practitioner, Family in New Bedford, Massachusetts
1699311753- Practice location
- 874 Purchase St, New Bedford, MA 02740-6232
- Phone
- 508-992-6553
- Fax
- —
- Last updated
- June 25, 2026
Miryam Amelie Boucher is a Nurse Practitioner, Family based in New Bedford, MA. Miryam Amelie Boucher practices in New Bedford, MA and has the professional credentials of NP-C. The NPI Number for Miryam Amelie Boucher is 1699311753 and holds a License No. 58023 (RI). The current practice location address for Miryam Amelie Boucher is 874 Purchase St, New Bedford, MA 02740-6232 and can be reached out via phone at 508-992-6553.
Provider Profile Details
- NPI Number
- 1699311753
- Provider Name
- Miryam Amelie Boucher
- Credential
- NP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 874 Purchase St, New Bedford, MA 02740-6232
- Phone Number
- 508-992-6553
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 25, 2019
- Last Update Date
- June 25, 2026
- Certification Date
- June 25, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 874 Purchase St
New Bedford, MA 02740-6232 - City
- New Bedford
- State
- Massachusetts
- Zip
- 02740-6232
- Phone Number
- 508-992-6553
Provider Business Mailing Address Details
- Address
- 874 Purchase St
New Bedford, MA 02740-6232 - City
- New Bedford
- State
- MA
- Zip
- 02740-6232
- Phone Number
- 508-992-6553
License Information
- License Number (1)
- 58023
- License State (1)
- RI
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 02226
- License State (2)
- RI
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X
- License Number (3)
- RN2319289
- License State (3)
- MA
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Miryam A Boucher, NP-C?
The NPI number of Miryam A Boucher, NP-C is 1699311753. It was assigned on November 25, 2019 and is currently active in the NPPES registry.
What is the specialty of Miryam A Boucher, NP-C?
Miryam A Boucher, NP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in RI under license number 58023.
Where does Miryam A Boucher, NP-C practice?
The practice location is 874 Purchase St, New Bedford, MA 02740-6232. The office can be reached at 508-992-6553 (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 1699311753 directly on the NPPES registry website.