Individual
HEATHER R BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
600 FREEDOM DR, NAPOLEON, OH 43545-9038
(419) 599-1660
(419) 592-8336
Mailing address
507 W MORENCI ST APT A, LYONS, OH 43533-9651
(419) 250-0794
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.143581.MEDS-IV
OH
Other
Enumeration date
09/06/2017
Last updated
06/16/2018
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