Individual provider · Type 1 NPI

Elaine Russo Boucher, NP

Adult Health Nurse Practitioner · Boston, MA

NPI number 1386959435 Active

Practice location

850 Harrison Ave, Yacc 4
Boston, MA 02118-4001

Fax (617) 414-2090

Mailing address

720 Harrison Ave, Dob 503
Boston, MA 02118

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XRN106293 (MA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1386959435

Elaine Russo Boucher, NP's National Provider Identifier is 1386959435, issued on Aug 13, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boston, MA. The record was last updated on May 8, 2014.