Individual
MS. KATHRYN ELIZABETH BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
3879 E 120TH AVE # 164, THORNTON, CO 80233-1658
(720) 443-3490
(720) 319-8995
Mailing address
3879 E 120TH AVE # 164, THORNTON, CO 80233-1658
(720) 443-3490
(720) 319-8995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10090
CO
2084P0800X
Psychiatry Physician
Primary
10090
CO
363LF0000X
Family Nurse Practitioner
10090
CO
Other
Enumeration date
08/21/2009
Last updated
09/26/2024
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