Individual provider · Type 1 NPI
Elise Bouchard, FNP-C
Family Nurse Practitioner · New York, NY
NPI number
1801510912
Active
Practice location
1000 10th Ave
New York, NY 10019-1147
Mailing address
2074 Frdrck Dgls Blvd Apt 2C
New York, NY 10026-3299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 350065 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1801510912
Elise Bouchard, FNP-C's National Provider Identifier is 1801510912, issued on Oct 3, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Oct 3, 2022.