Individual provider · Type 1 NPI

Emily Brooke Boucher, PA-C

Physician Assistant · Kettering, OH

NPI number 1255933263 Active

Practice location

3737 Southern Blvd, Boonshoft Bld. Floor E
Kettering, OH 45429

Mailing address

1 Prestige Pl Ste 550
Miamisburg, OH 45342-6115

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1160683 (OH)
Physician Assistant Primary 363A00000X50.006744RX

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1255933263

Emily Brooke Boucher, PA-C's National Provider Identifier is 1255933263, issued on Nov 13, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kettering, OH. The record was last updated on Mar 8, 2021.