Individual
MRS. BARBARA LYNN BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3237 VOYAGER DR, GREEN BAY, WI 54311-8349
(920) 468-8288
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2377
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3371-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014110
—
WI
Enumeration date
03/14/2008
Last updated
11/24/2021
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