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Contact Information

NINA E BOUCHARD
7710 MERCY RD STE 134
OMAHA, NE68124-2346
 Phone: 402-717-3600
 Fax: 402-343-8891
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NINA E BOUCHARD · (Female)

NPI # 1649933672
Status Active
Credentials
Entity Individual
Enumeration date 10/17/2021
Last updated 11/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IA License # A167865
  • NE License # 113754
Hospital affiliation(s)
  • ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER - (Acute Care)
    7500 MERCY RD
    OMAHA, NE 68124
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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