Individual
NANCY BOUFFARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
990 WASHINGTON ST, UNIT 203, DEDHAM, MA 02026-6714
(781) 404-7041
Mailing address
819 WORCESTER ST, SUITE 3, SPRINGFIELD, MA 01151-1045
(413) 543-6820
(413) 543-7962
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
182178
MA
363LG0600X
Gerontology Nurse Practitioner
182178
MA
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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