Individual
MRS. SANDRA BOUCHER MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 S PROSPECT ST, BURLINGTON, VT 05401-3456
(802) 847-4589
Mailing address
65 MOSS GLEN LN, SOUTH BURLINGTON, VT 05403-7281
(802) 863-7939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1010013568
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OPN3030
—
VT
Enumeration date
07/05/2006
Last updated
07/08/2007
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