Individual
KATHERINE MARIE BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3000 COLISEUM DR, HAMPTON, VA 23666-5963
(757) 736-1000
Mailing address
8177 RUDDOCK PL, HAYES, VA 23072-3754
(804) 337-7403
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024176788
VA
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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