Individual
MS. AMY L. BOUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
45 FRANCIS ST, BWH WEINER CENTER, BOSTON, MA 02115-6105
(617) 732-5179
(617) 975-0885
Mailing address
40 GATSBY DR, UNIT # 7, RAYNHAM, MA 02767-8075
(508) 884-3440
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
170873
MA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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