MS. NAN M BOUCHER (NPI# 1033157227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033157227 |
| Entity Type | Individual |
| Full Name | MS. NAN M BOUCHER |
| Credential | ANP |
| Practice Address |
99 Campus Ave Suite 201 Lewiston ME 04240-6045 |
| Mailing Address |
Po Box 7291 Lewiston ME 04243-7291 |
| Practice Telephone | 2077778810 |
| Practice Fax Number | 2077778155 |
| Mailing Telephone | 2077778950 |
| Mailing Fax Number | 2077778800 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
CNP81044 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP081044 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30347091 | 05 | |
| ME | 432184299 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568488419 | Nan J Boucher | Nurse Practitioner | 50 Marquis Rd, Freeport, ME 04032-6477 | 2006-07-14 |
| Street Address |
99 CAMPUS AVE SUITE 201 |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-6045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396747218 | Marc Duane Christensen | Specialist | 99 Campus Ave, Suite 303, Lewiston, ME 04240-6045 | 2005-08-11 |
| 1417308263 | Abby Austin | Nurse Practitioner | 99 Campus Ave, Suite 301, Lewiston, ME 04240-6045 | 2016-06-23 |
| 1760836977 | Community Clinical Services, Inc. | Clinic/Center | 99 Campus Ave, Suite 201, Room A, Lewiston, ME 04240-6045 | 2016-04-14 |
| 1790060549 | John P Cederna | Surgery | 99 Campus Ave, Suite 303, Lewiston, ME 04240-6045 | 2011-10-12 |
| 1730476839 | Alison Claire Daigle | Psychiatry & Neurology | 99 Campus Ave, Suite 402, Lewiston, ME 04240-6045 | 2011-07-09 |
| 1023338704 | Lauren M Desmarais | Internal Medicine | 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 | 2010-06-04 |
| 1083865968 | Sarah M Burek | Social Worker | 99 Campus Ave, Lewiston, ME 04240-6045 | 2008-10-09 |
| 1275782690 | Michael Jaikaran Isaac | Internal Medicine | 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 | 2008-09-09 |
| 1689874034 | Diana L Drown | Physician Assistant | 99 Campus Ave, Suite 401, Lewiston, ME 04240-6045 | 2007-07-24 |
| 1659494250 | Dawn B Trani-fallon | Nurse Practitioner | 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285281311 | Anne Kenyon Smith | Nurse Practitioner | 22 Station Ave # 101, Brunswick, ME 04011-2092 | 2019-08-22 |
| 1336696590 | Nathaniel Anderson | Nurse Practitioner | 266 E Elm St, Yarmouth, ME 04096-7116 | 2016-09-06 |
| 1083008098 | Maine Life Care Retirement Community | Nurse Practitioner | 15 Piper Road, Scarborough, ME 04074-7541 | 2015-03-27 |
| 1144327024 | Elizabeth Mary Barthmaier | Nurse Practitioner | Amedisys Palliative Care, 54 Atlantic Place, South Portland, ME 04106 | 2006-09-20 |
| 1093366239 | Danielle Rice | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2019-09-27 |
| 1619463072 | Kristie Jean Murphy | Nurse Practitioner | 50 Marquis Rd, Freeport, ME 04032-6477 | 2018-07-09 |
| 1053780312 | Elise Scala | Nurse Practitioner | 56 Baribeau Dr, Brunswick, ME 04011-3251 | 2015-09-16 |
| 1164765640 | Tanya L Sleeper | Nurse Practitioner | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2013-04-03 |
| 1427034396 | Mary Desalle | Nurse Practitioner | 655 Main St, Saco, ME 04072-1543 | 2005-12-21 |
| 1982680187 | Patricia Holt | Nurse Practitioner | 655 Main St, Saco, ME 04072-1543 | 2005-12-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. NAN M BOUCHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.