Individual provider · Type 1 NPI
Dominica Boucher
Nurse Practitioner · Worcester, MA
Practice location
55 Lake Ave N
Worcester, MA 01655-0002
Fax (774) 441-7727
Mailing address
PO Box 415348
Boston, MA 02241-5348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN2371640 (MA) |
| Nurse Practitioner Primary | 363L00000X | RN2371640 (MA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1104615087
Dominica Boucher's National Provider Identifier is 1104615087, issued on May 6, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Worcester, MA. The record was last updated on Jun 5, 2025.