Individual provider · Type 1 NPI
Miryam Amelie Boucher, NP-C
Family Nurse Practitioner · New Bedford, MA
NPI number
1699311753
Active
Practice location
874 Purchase St
New Bedford, MA 02740-6232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 58023 (RI) |
| Family Nurse Practitioner | 363LF0000X | 02226 (RI) |
| Family Nurse Practitioner Primary | 363LF0000X | RN2319289 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1699311753
Miryam Amelie Boucher, NP-C's National Provider Identifier is 1699311753, issued on Nov 25, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Bedford, MA. The record was last updated on Jun 25, 2026.