Individual
MRS. ANNA SWANSON BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
61 WHITCHER ST NE, MARIETTA, GA 30060-1176
(770) 422-2326
(770) 422-7797
Mailing address
61 WHITCHER ST NE STE 3110, MARIETTA, GA 30060-1179
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
RN164917
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN164917
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN164917
APRN LICENSE
GA
Enumeration date
09/20/2017
Last updated
04/15/2026
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