Individual
ANNE J BOUCARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
442 WEST BROADWAY AVENUE, CAMDEN, NJ 08103
(856) 365-1707
Mailing address
442 WEST BROADWAY AVENUE, CAMDEN, NJ 08103
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00313300
NJ
363LA2200X
Adult Health Nurse Practitioner
SP011149
PA
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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