Individual
HEATHER K BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CNM
Contact information
Practice address
360 PEAK ONE DRIVE, SUITE 260, FRISCO, CO 80443
(970) 668-5771
(970) 262-2196
Mailing address
360 PEAK ONE DR, FRISCO, CO 80443
(970) 668-5771
(970) 262-2196
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
128964
CO
367A00000X
Advanced Practice Midwife
Primary
APN.0004757-CNM
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128964
COLORADO STATE LICENSE
CO
Enumeration date
01/02/2007
Last updated
05/10/2016
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