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Individual

AMY NICHOL BOUCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
219307
OK
363LN0000X
Neonatal Nurse Practitioner
ARNP 9402724
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003161421A
GA
05
014583500
FL
Enumeration date
03/26/2015
Last updated
01/19/2025
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