Individual
BONNIE BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2300 SOUTHWOOD DR, NASHUA, NH 03063-1818
(603) 577-4000
Mailing address
PO BOX 40, CARIBOU, ME 04736-0040
(207) 498-2359
(207) 498-3947
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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