Individual
CYNTHIA BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(813) 779-6303
(786) 868-0012
Mailing address
816 NW 13TH ST, GAINESVILLE, FL 32601-2903
(352) 371-3212
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3309792
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP3309792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004144000
—
FL
Enumeration date
09/28/2011
Last updated
02/01/2024
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