Individual provider · Type 1 NPI
Kimber Anne Bouchard, NP
Gerontology Nurse Practitioner · Mount Dora, FL
NPI number
1861559908
Active
Practice location
2146 Wallingford Loop
Mount Dora, FL 32757-8503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 178272 (MA) |
| Gerontology Nurse Practitioner | 363LG0600X | 178272 (MA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | APRN11018226 (FL) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Mount Dora
About NPI 1861559908
Kimber Anne Bouchard, NP's National Provider Identifier is 1861559908, issued on Jan 1, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Mount Dora, FL. The record was last updated on Apr 18, 2022.