person
Nicole Christine Boucuvalas, CNP
Family Nurse Practitioner in Springboro, Ohio
NPI 1851843668

Nicole Christine Boucuvalas is a Family Nurse Practitioner based in Springboro, OH and is specialized in Family. Nicole Christine Boucuvalas practices in Springboro, OH and has the professional credentials of CNP. The NPI Number for Nicole Christine Boucuvalas is 1851843668 and holds a License No. APRN.CNP.020071 (Ohio).

The current practice location address for Nicole Christine Boucuvalas is 825 N Main St Ste 130, Springboro, OH and can be reached out via phone at 937-433-5309 and via fax at 937-424-3650.

Location: 825 N Main St Ste 130, Springboro, OH, 45066-2100
person
Provider Profile Details
NPI Number
1851843668
Provider Name
Nicole Christine Boucuvalas
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
825 N Main St Ste 130, Springboro, OH, 45066-2100
Phone Number
937-433-5309
Fax Number
937-424-3650
Provider Enumeration Date
10/27/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0190775 05 OH
H522020 01 OH MEDICARE
institution
Provider Business Practice Location Address Details
Address
825 N Main St Ste 130
City
State
Zip
45066-2100
Phone Number
937-433-5309
Fax Number
937-424-3650
person
Provider Business Mailing Address Details
Address
825 N Main St Ste 130
City
State
Zip
45066-2100
Phone Number
937-433-5309
Fax Number
937-424-3650
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APRN.CNP.020071 (Ohio)
Definition
Definition to come...
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