Individual provider · Type 1 NPI
Nicole Lynn Boucher, CPNP-PC
Pediatric Nurse Practitioner · Brighton, MI
NPI number
1659674182
Active
Practice location
136 Kissane Ave, Suite A
Brighton, MI 48116-2467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704195198 (MI) |
Pediatric Nurse Practitioner: Definition to come...
4 other providers at this address
Other pediatric nurse practitioner providers in Brighton
- Melanie Klenk, CNPPediatric Nurse Practitioner Brighton, MI NPI 1275686099
- Patrice Gage, CNPPediatric Nurse Practitioner Brighton, MI NPI 1285772822
- Margaret McMahon, CNPPediatric Nurse Practitioner Brighton, MI NPI 1457424095
- Kristen Elizabeth Upton, CPNPPediatric Nurse Practitioner Brighton, MI NPI 1710225412
- Judith Jo Collica, NURSE PRACTITIONERPediatric Nurse Practitioner Brighton, MI NPI 1821318676
About NPI 1659674182
Nicole Lynn Boucher, CPNP-PC's National Provider Identifier is 1659674182, issued on Dec 5, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Brighton, MI. The record was last updated on Dec 5, 2010.