Andrea Bouchard, CRNA
Nurse Anesthetist, Certified Registered in Fort Kent, ME. Individual provider (NPI-1).
NPI number1114386554
StatusActive
Last updated in NPPESNov 30, 2019
Details
- NPI
- 1114386554
- Entity type
- Individual (NPI-1)
- Name
- Andrea Bouchard
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2016
- Last updated
- Nov 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA163028 | ME | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | rn57585 | ME |
Other names
- Andrea Cyr (Former Name)
Practice location
194 E Main StFort Kent, ME 04743-1428
Phone 207-834-3155 · Fax 207-834-2949
Mailing address
194 E Main StFort Kent, ME 04743-1428
Phone 207-834-3155 · Fax 207-834-2949
Other practice locations
22 Bramhall St
Portland, ME 04102-3134
Portland, ME 04102-3134
Phone 207-316-6114
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