Individual
NAN J BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
50 MARQUIS RD, FREEPORT, ME 04032-6477
(207) 865-6131
(207) 865-9399
Mailing address
39 WALLACE AVE, SO PORTLAND, ME 04106-6143
(207) 761-0650
(207) 761-8198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R028338
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30347280
—
NH
05
—
337470099
—
ME
Enumeration date
07/14/2006
Last updated
11/26/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us