Individual
AMY NICHOL BOUCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1200 EVERETT DR FL 7, OKLAHOMA CITY, OK 73104-5047
(405) 271-5215
(405) 271-1236
Mailing address
1200 EVERETT DR FL 7, OKLAHOMA CITY, OK 73104-5047
(405) 271-5215
(405) 271-1236
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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