- Practice location
- 268 Stillwater Ave, Bangor, ME 04401-3945
- Phone
- 207-973-6100
- Fax
- —
- Last updated
- July 12, 2017
Kati Lyn Boucher is a Nurse Practitioner, Psych/Mental Health based in Bangor, ME. Kati Lyn Boucher practices in Bangor, ME and has the professional credentials of PMHNP-BC. The NPI Number for Kati Lyn Boucher is 1760904734 and holds a License No. CNP171090 (ME). The current practice location address for Kati Lyn Boucher is 268 Stillwater Ave, Bangor, ME 04401-3945 and can be reached out via phone at 207-973-6100.
Provider Profile Details
- NPI Number
- 1760904734
- Provider Name
- Kati Lyn Boucher
- Credential
- PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 268 Stillwater Ave, Bangor, ME 04401-3945
- Phone Number
- 207-973-6100
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 12, 2017
- Last Update Date
- July 12, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 268 Stillwater Ave
Bangor, ME 04401-3945 - City
- Bangor
- State
- Maine
- Zip
- 04401-3945
- Phone Number
- 207-973-6100
Provider Business Mailing Address Details
- Address
- 268 Stillwater Ave
Bangor, ME 04401-3945 - City
- Bangor
- State
- ME
- Zip
- 04401-3945
License Information
- License Number
- CNP171090
- License State
- ME
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near Bangor, ME
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- Caitlin A Breidt, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1073296968
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Frequently Asked Questions
What is the NPI number of Kati L Boucher, PMHNP-BC?
The NPI number of Kati L Boucher, PMHNP-BC is 1760904734. It was assigned on July 12, 2017 and is currently active in the NPPES registry.
What is the specialty of Kati L Boucher, PMHNP-BC?
Kati L Boucher, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in ME under license number CNP171090.
Where does Kati L Boucher, PMHNP-BC practice?
The practice location is 268 Stillwater Ave, Bangor, ME 04401-3945. The office can be reached at 207-973-6100 (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 1760904734 directly on the NPPES registry website.