Individual
MS. DEBRA ANNE MARIE BOUCAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 HOSPITAL LN, CALAIS, ME 04619-1329
(479) 926-9355
Mailing address
7440 MOLAS RD NW, ALBUQUERQUE, NM 87114-6435
(479) 522-4771
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
30304076
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
8816
CT
Other
Enumeration date
04/23/2007
Last updated
11/01/2021
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