Individual provider · Type 1 NPI

Nan M. Boucher, ANP

Gerontology Nurse Practitioner · Lewiston, ME

NPI number 1033157227 Active

Practice location

99 Campus Ave, Suite 201
Lewiston, ME 04240-6045

Fax (207) 777-8155

Mailing address

PO Box 95000 Lbx 7650
Philadelphia, PA 19195-0001

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XAP081044 (ME)
Gerontology Nurse Practitioner Primary 363LG0600XCNP81044 (ME)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1033157227

Nan M. Boucher, ANP's National Provider Identifier is 1033157227, issued on Jun 2, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Lewiston, ME. The record was last updated on Nov 8, 2022.