Individual
DENISE M BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNPC
Contact information
Practice address
53 SCHOODIC DR, BELFAST, ME 04915
(207) 338-6900
(207) 338-4974
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP81546
ME
Other
Enumeration date
06/08/2006
Last updated
04/25/2022
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