NPI 1013507110 · live from the CMS NPI Registry
Katelin Ashley Bouchard, APRN
Nurse Practitioner, Family in Bristol, CT. National Provider Identifier 1013507110, active.
NPI record
| NPI | 1013507110 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 130 Collins Rd, Bristol, CT 06010 |
| Practice phone | 860-919-5626 |
| Enumerated | January 22, 2021 |
| Last updated | February 26, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Hospice and Palliative Medicine | 207QH0002X | 9445 (CT) |
| Nurse Practitioner, Family primary | 363LF0000X | 9445 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.