Individual
MEGAN BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2351 SUMMER ST, STAMFORD, CT 06905-4504
(203) 489-7001
Mailing address
28 PARK LN, WESTPORT, CT 06880-4417
(718) 744-5178
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8712
CT
Other
Enumeration date
09/22/2020
Last updated
11/27/2023
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