Individual
MRS. SARAH JAYNE BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
183 SAINT PAUL ST, BURLINGTON, VT 05401-4636
(802) 863-6326
Mailing address
784 HERCULES DR STE 110, COLCHESTER, VT 05446-8049
(802) 448-9787
(802) 660-9438
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0132118
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032487
—
VT
Enumeration date
07/18/2017
Last updated
12/13/2019
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