RANDI N BOUCHILLON, DNP, FNP-C, Family PRINCE FREDERICK, MD

Contact Information

RANDI N BOUCHILLON, DNP, FNP-C

85 HOSPITAL RD
PRINCE FREDERICK, MD 20678-4018

Phone: 410-535-2300
Fax: 410-535-1505
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Pediatrics	163WP0200X

Indicates primary specialty

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NPI Profile & details for RANDI N BOUCHILLON · (Female)

NPI Number	`1437888138`
Status	Active
Credentials	DNP, FNP-C
Entity	Individual
Enumeration date	06/08/2022
Last updated	05/26/2026 - About 2 weeks ago
Sole proprietor ¹	No
Identifiers	MD License # R244896 MD Medicaid 815444357 MD Other R244896 RN
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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RANDI N BOUCHILLON, DNP, FNP-C – NPI #1437888138Family

Contact Information

Specialty

Family

Pediatrics

NPI Profile & details for RANDI N BOUCHILLON · (Female)

Reviews for RANDI N BOUCHILLON

RANDI N BOUCHILLON, DNP, FNP-C – NPI #1437888138
Family