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Individual
MRS. ANNA SWANSON BOUCHARD
Active
Individual
MRS. ANNA SWANSON BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
RN164917
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN164917
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN164917
APRN LICENSE
GA
Enumeration date
09/20/2017
Last updated
04/15/2026
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