Individual
ADRIENNE R BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
844127
TX
363LF0000X
Family Nurse Practitioner
Primary
1072346
TX
Other
Enumeration date
02/12/2022
Last updated
10/24/2025
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