Individual provider · Type 1 NPI

Katherine Marie Boucher, NP

Acute Care Nurse Practitioner · Hampton, VA

NPI number 1417417213 Active

Practice location

3000 Coliseum Dr
Hampton, VA 23666-5963

Mailing address

8177 Ruddock Pl
Hayes, VA 23072-3754

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X0024176788 (VA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1417417213

Katherine Marie Boucher, NP's National Provider Identifier is 1417417213, issued on Mar 20, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Hampton, VA. The record was last updated on Mar 20, 2019.