Individual
ALLYSON BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5011
Mailing address
99 E RIVER DR FL 5, EAST HARTFORD, CT 06108-7301
(860) 282-0833
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
127755
CT
363L00000X
Nurse Practitioner
14897
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
153480
CT
Other
Enumeration date
04/25/2025
Last updated
06/12/2025
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