Individual provider · Type 1 NPI

Stephen Andrew Boucher, APRN

Nurse Practitioner · Greenwood, SC

NPI number 1730728031 Active

Practice location

160 Academy Ave
Greenwood, SC 29646-3808

Fax (864) 223-4026

Mailing address

104 Wells Ave
Greenwood, SC 29646-3837

Other practice locations

  • 102 Rockcreek Blvd, Greenwood, SC 29649-8915 · (864) 725-5020

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X23405 (SC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1730728031

Stephen Andrew Boucher, APRN's National Provider Identifier is 1730728031, issued on Jan 3, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greenwood, SC. The record was last updated on Jan 6, 2025.