Individual
AMIE BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1510 E FLOWER ST, PHOENIX, AZ 85014-5698
(602) 954-0444
Mailing address
9103 N 183RD LN, WADDELL, AZ 85355-4360
(623) 888-2261
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP10405
AZ
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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