Active NPIIndividual provider

Renee M Boucher, NP

Nurse Practitioner, Family in Winchendon, Massachusetts

NPI Number1699750034
Practice location
3 Memorial Dr, Winchendon, MA 01475-1279
Fax
978-297-5430
Last updated
January 21, 2010

Renee M Boucher is a Nurse Practitioner, Family based in Winchendon, MA. Renee M Boucher practices in Winchendon, MA and has the professional credentials of NP. The NPI Number for Renee M Boucher is 1699750034 and holds a License No. 230888 (MA). The current practice location address for Renee M Boucher is 3 Memorial Dr, Winchendon, MA 01475-1279 and can be reached out via phone at 978-297-5052 and via fax at 978-297-5430.

Provider Profile Details

NPI Number
1699750034
Provider Name
Renee M Boucher
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3 Memorial Dr, Winchendon, MA 01475-1279
Phone Number
978-297-5052
Fax Number
978-297-5430
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
-- Renee M Jolicoeur, FNP (Other Name)
Provider Enumeration Date
December 8, 2005
Last Update Date
January 21, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Memorial Dr
Winchendon, MA 01475-1279
Zip
01475-1279
Phone Number
978-297-5052
Fax Number
978-297-5430
Winchendon, MA 01475Get directions →

Provider Business Mailing Address Details

Address
242 Green St
Gardner, MA 01440-1336
City
Gardner
State
MA
Zip
01440-1336
Phone Number
978-630-5076
Fax Number
978-630-5078

License Information

License Number
230888
License State
MA
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 Renee M Boucher, NP?

The NPI number of Renee M Boucher, NP is 1699750034. It was assigned on December 8, 2005 and is currently active in the NPPES registry.

What is the specialty of Renee M Boucher, NP?

Renee M Boucher, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 230888.

Where does Renee M Boucher, NP practice?

The practice location is 3 Memorial Dr, Winchendon, MA 01475-1279. The office can be reached at 978-297-5052 (phone) or 978-297-5430 (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 1699750034 directly on the NPPES registry website.

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