Individual
CATHERINE BOUCHER
Active
Individual
CATHERINE BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
19695
SC
207ND0900X
Dermatopathology Physician
Primary
LG-0011897
DE
363LF0000X
Family Nurse Practitioner
19695
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3370
—
SC
01
—
SC77017818
MEDICARE PTAN
SC
Enumeration date
08/12/2015
Last updated
11/21/2024
Update your record
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