Bouchard, Stacey

Bouchard, Stacey is an individual health care provider with primary practice located at 12 Crest Rd , Saint Albans VT 05478-9701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bouchard, Stacey can be contacted via phone (802) 524-4554.

Contact Information

Primary practice address
12 Crest Rd Saint Albans VT 05478-9701
Phone: (802) 524-4554
Fax: (802) 527-6792
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 101.0093987 Vermont

Profile Details

NPI number 1356682678
LBN Legal business name Bouchard, Stacey
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2013
Last updated Oct 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356682678 NPPES
Vermont Other 101.0093987 STATE OF VT APRN LICENSE

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