Barbara Lynn Boucher in Green Bay - Nurse Practitioner
Barbara Lynn Boucher - NPI 1639340995
Barbara Lynn Boucher is a Nurse Practitioner in Green Bay, Wisconsin. Barbara Lynn Boucher practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Barbara Lynn Boucher is 1639340995. The last update date is 2021-11-24.
Barbara Lynn Boucher's current location address is 3237 Voyager Dr, Green Bay, Wisconsin. You can contact this provider via phone number 9204688288. The mailing address for Barbara Lynn Boucher is 3237 Voyager Dr, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barbara Lynn Boucher |
|---|---|
| Address | 3237 Voyager Dr, Green Bay, Wisconsin |
| Phone Number | 9204688288 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1639340995 |
|---|---|
| Provider Enumeration Date | 2008-03-14 |
| Last Updated Date | 2021-11-24 |
Provider Mailing Address Detail
| Address | 3237 Voyager Dr |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543118349 |
| Phone Number | 9204688288 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 3371-033 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11014110 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Barbara Lynn Boucher by the Centers for Medicare & Medicaid Services?
The Barbara Lynn Boucher has been assigned the NPI (National Provider Identifier) 1639340995. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Barbara Lynn Boucher's physical address?
The Barbara Lynn Boucher is physically located at 3237 Voyager Dr, in the city of Green Bay, WI, with the postal code 543118349.
What is the Barbara Lynn Boucher's specialty and taxonomy code?
The Barbara Lynn Boucher's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Barbara Lynn Boucher receive the assignment of its 1639340995 from the Centers for Medicare & Medicaid Services?
The Barbara Lynn Boucher was issued its 1639340995 by the Centers for Medicare & Medicaid Services on 2008-03-14.
When was the information regarding Barbara Lynn Boucher most recently updated?
The details pertaining to the Barbara Lynn Boucher, including its address, specialty, and other relevant information, were last refreshed on 2021-11-24.