Ms. Nan M Boucher
Nurse Practitioner - Gerontology
99 Campus Ave Suite 201
Lewiston
, Maine 04240-6045
Ms. Nan M Boucher
Nurse Practitioner - Gerontology
99 Campus Ave Suite 201
Lewiston
, Maine 04240-6045
(207) 777-8800
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Ms. Nan M Boucher
- Po Box 7291
- Lewiston, ME
- Zip : 04243-7291
- Fax : (207) 777-8800
- Phone : (207) 777-8950
Second Address
- Ms. Nan M Boucher
- 99 Campus Ave Suite 201
- Lewiston, ME
- Zip : 04240-6045
- Fax : (207) 777-8155
- Phone : (207) 777-8810
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FAQs
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What type of doctor is Ms. Nan M Boucher
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Is Ms. Nan M Boucher a sole practitioner?
Is Ms. Nan M Boucher accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LG0600X | Nurse Practitioner - Gerontology | AP081044 | ME |
| Y | 363LG0600X | Nurse Practitioner - Gerontology | CNP81044 | ME |
National Provider Identifier
| NPI | 1033157227 |
|---|---|
| Provider Name | Ms. Nan M Boucher |
| First Address | Lewiston, ME 04243-7291 |
| Second Address | Lewiston, ME 04240-6045 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2006 |
| Last Update Date | 09/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 30347091 | (05) | NH |
| 432184299 | (05) | ME |
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.