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Contact Information

KATELIN A BOUCHARD, APRN
130 COLLINS RD
BRISTOL, CT06010-3859
 Phone: 860-919-5626
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KATELIN A BOUCHARD · (Female)

NPI Number 1013507110
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 01/22/2021
Last updated 02/26/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 9445
Hospital affiliation(s) Not Available
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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