Lisa A. Boucher
Nurse Practitioner - Adult Health
500 Salisbury St Assumption College - Student Health Services
Worcester
, Massachusetts 01609-1265
Lisa A. Boucher
Nurse Practitioner - Adult Health
500 Salisbury St Assumption College - Student Health Services
Worcester
, Massachusetts 01609-1265
(508) 882-3722
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Lisa A. Boucher
- 110 Farm Pond Rd
- Oakham, MA
- Zip : 01068-9551
- Phone : (508) 882-3722
Second Address
- Lisa A. Boucher
- 500 Salisbury St Assumption College - Student Health Services
- Worcester, MA
- Zip : 01609-1265
- Fax : (508) 767-7102
- Phone : (508) 767-7329
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 206013 | MA |
National Provider Identifier
| NPI | 1033210182 |
|---|---|
| Provider Name | Lisa A. Boucher |
| First Address | Oakham, MA 01068-9551 |
| Second Address | Worcester, MA 01609-1265 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.