Andrea Marie Boucher MSN CNM

NPI 1780950055 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1780950055
Gender Female
Enumeration Date 03/30/2012
Last Updated 07/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
853 JEFFERSON AVE
ROUT E102
MEMPHIS TN, 38103-2807, US
Phone (901) 448-7479
Fax
Business Location
697 S BELVEDERE BLVD
MEMPHIS TN, 38104-5003, US
Phone (901) 517-3704
Fax
Toxanomy
Taxonomy Code 367A00000X
License State Tennessee
License Number APN0000016453
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According to our database, Mrs. Andrea Marie Boucher MSN CNM NPI is 1780950055, taxonomy code is 367A00000X and license number is APN0000016453, license state is located at Tennessee. Andrea Marie Boucher MSN CNM physically located at 853 Jefferson Ave, Memphis TN, 38103-2807. NPI Number Andrea Marie Boucher MSN CNM has the Individual type.

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1780950055 NPI number is provided on an as is basis without warranty of any kind. 1780950055 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Marie Boucher MSN CNM are for informational purposes only.