NAN J BOUCHER (NPI# 1568488419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568488419 |
| Entity Type | Individual |
| Full Name | NAN J BOUCHER |
| Credential | FNP |
| Practice Address |
50 Marquis Rd Freeport ME 04032-6477 |
| Mailing Address |
39 Wallace Ave So Portland ME 04106-6143 |
| Practice Telephone | 2078656131 |
| Practice Fax Number | 2078659399 |
| Mailing Telephone | 2077610650 |
| Mailing Fax Number | 2077618198 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2014-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R028338 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30347280 | 05 | |
| ME | 337470099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033157227 | Nan M Boucher | Nurse Practitioner | 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 | 2006-06-02 |
| Street Address |
50 MARQUIS RD |
| City | FREEPORT |
| State | ME |
| Zip Code | 04032-6477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599456 | Anna Elizabeth Davis | Nurse Practitioner | 50 Marquis Rd, Freeport, ME 04032-6477 | 2005-06-28 |
| 1619463072 | Kristie Jean Murphy | Nurse Practitioner | 50 Marquis Rd, Freeport, ME 04032-6477 | 2018-07-09 |
| 1427496868 | Jeremy J. Beaulieu | Nurse Practitioner | 50 Marquis Rd, Freeport, ME 04032 | 2013-06-07 |
| 1659636611 | Emily P F Delldonna | Registered Nurse | 50 Marquis Rd, Freeport, ME 04032-6477 | 2012-07-05 |
| 1770868762 | Alexandra Jane Barr | Family Medicine | 50 Marquis Rd, Freeport, ME 04032-6477 | 2011-10-21 |
| 1356637805 | Windy A Wyatt | Internal Medicine | 50 Marquis Rd, Freeport, ME 04032-6477 | 2011-06-23 |
| 1417104415 | Jennifer Lynne Shaw | Nurse Practitioner | 50 Marquis Rd, Freeport, ME 04032-6477 | 2008-08-20 |
| 1558523076 | Katherine J Moore | Internal Medicine | 50 Marquis Rd, Freeport, ME 04032 | 2008-06-26 |
| 1053593962 | Karen E. Saylor | Internal Medicine | 50 Marquis Rd, Freeport, ME 04032-6477 | 2007-12-03 |
| 1275726341 | Stephen Lee Saylor | Physician Assistant | 50 Marquis Rd, Freeport, ME 04032-6477 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355920 | Joyce Mary Nadeau | Psychologist | 4 Picnic Hill Rd, Freeport, ME 04032 | 2019-03-18 |
| 1689157729 | Tim Spaulding | Occupational Therapist | Hawthorne House, 6 Old County Rd, Freeport, ME 04032 | 2018-09-14 |
| 1538698212 | Travis Jeffery Bouchard | Surgery | 601 E. Hampden Ave., #220, Englewood, CA 04032 | 2017-06-07 |
| 1649522608 | Heather Danielle Parlin | Counselor | 19 Hunter Rd, Freeport, ME 04032 | 2012-10-15 |
| 1609137843 | Access Health Renewal | Clinic/Center | 174 So. Freeport Road, Suite 2a, Freeport, ME 04032 | 2012-06-05 |
| 1942571427 | Meghan Kathleen Gorchoff | Counselor | 13 Foggs Pt. Rd., Freeport, ME 04032 | 2012-01-16 |
| 1043435928 | Meredith Wall | Physician Assistant | 7 Campus Drive, Intermed Onsite At Llbean, Freeport, ME 04032 | 2007-04-16 |
| 1437212990 | Phoebe Snovek Prosky | Social Worker | 143 Flying Point Rd, Freeport, ME 04032 | 2006-12-18 |
| 1801955364 | Kenneth Eugene Koenke | Dentist | 37 Bow St, Freeport, ME 04032 | 2006-12-08 |
| 1497851885 | Kathleen Ellen Sullivan | Social Worker | 16 Lincoln St., Suite C, Brunswick, ME 04032 | 2006-09-15 |
| Find all providers in zip 04032 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606064 | Catherine Lynn Rowan-collier | Nurse Practitioner | 389 Wilson Way, Freeport, FL 32439-5023 | 2020-07-13 |
| 1891310512 | Stephanie Esperance | Nurse Practitioner | 184 Delaware Ave, Freeport, NY 11520-1315 | 2020-06-09 |
| 1255971107 | Dorothy Nanong-rojas | Nurse Practitioner | 155 W Merrick Rd Ste 202, Freeport, NY 11520-3743 | 2020-01-08 |
| 1912549049 | Kettly Cazaubon | Nurse Practitioner | 567 Miller Ave, Freeport, NY 11520-6310 | 2019-10-10 |
| 1184012874 | Barbara Simms | Nurse Practitioner | 378 W Merrick Rd, Freeport, NY 11520-4125 | 2015-01-02 |
| 1366855884 | E & B Np Associates In Wellness; Corp | Nurse Practitioner | 53 E Merrick Rd, Suite 134, Freeport, NY 11520-4056 | 2014-06-03 |
| 1245671437 | Susan Marie Tuell | Nurse Practitioner | 667 W Fairview Rd, Freeport, IL 61032-9188 | 2013-07-16 |
| 1245326735 | Lee Attema | Nurse Practitioner | 905 N Gulf Blvd, Freeport, TX 77541-3907 | 2006-10-04 |
| 1285600601 | Michelle Leigh Volling | Nurse Practitioner | 750 S. Kiwanis Dr, Freeport, IL 61032 | 2006-02-25 |
| 1871599456 | Anna Elizabeth Davis | Nurse Practitioner | 50 Marquis Rd, Freeport, ME 04032-6477 | 2005-06-28 |
| Find all providers in FREEPORT | ||||
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| 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.