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Individual

BONNIE BOUCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN27700
ME
176B00000X
Midwife
CNM82022
ME
367A00000X
Advanced Practice Midwife
Primary
090915-23
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11459629
CAQH ID NO.
ME
01
2426723
UNITED HEALTHCARE PROVIDER NO.
01
8891249
CIGNA PROVIDER ID NO.
Enumeration date
03/09/2006
Last updated
08/06/2024
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