Individual
KRISTIN D. BOUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
ANESTHESIA PRACTICE CONSULTANTS, PC, 3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525
(616) 364-4200
(616) 364-7347
Mailing address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 345-8618
(269) 345-1508
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704181397
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704181397
MICHIGAN LICENSE
MI
Enumeration date
10/02/2008
Last updated
08/06/2020
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