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Contact Information

KERRI L BOUCHARD, ACNP-BC
16 S EUTAW ST FL 3
BALTIMORE, MD21201-1606
 Phone: 410-328-3100
 Fax: 410-328-8981
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Critical Care Medicine

363LC0200X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KERRI L BOUCHARD · (Female)

NPI # 1144588294
Status Active
Credentials ACNP-BC (Acute Care Nurse Practitioner - Board Certified)
Entity Individual
Enumeration date 04/26/2012
Last updated 08/02/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MD License # R130529
  • MD Medicaid 067423100
  • MD Other S062-0536 CAREFIRST BC/BS
Hospital affiliation(s)
  • SAINT AGNES HOSPITAL - (Acute Care)
    900 CATON AVENUE
    BALTIMORE, MD 21229
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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