Boucher, Barbara Lynn
Boucher, Barbara Lynn is an individual health care provider with primary practice located at 3237 Voyager Dr , Green Bay WI 54311-8349. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Boucher, Barbara Lynn can be contacted via phone (920) 468-8288.Contact Information
Primary practice address
3237 Voyager Dr
Green Bay WI 54311-8349
Phone: (920) 468-8288
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3371-033 | Wisconsin |
Profile Details
| NPI number | 1639340995 |
|---|---|
| LBN Legal business name | Boucher, Barbara Lynn |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2008 |
| Last updated | Nov 24th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639340995 | NPPES |
| Wisconsin | MEDICAID | 11014110 |
Popular Providers
-
Niles, Pam
2641 Development Dr , Green Bay WI 54311-4240 -
Baldwin, Tamara A
301 E Saint Joseph St , Green Bay WI 54301-2241 -
Jerabek, Kristen M
2845 Greenbrier Rd , Green Bay WI 54311-6519 -
Freis, Cathy J
2714 Riverview Dr , Green Bay WI 54313-6715 -
Leistiko, Jenifer M
2845 Greenbrier Rd , Green Bay WI 54311-6519 -
Berndt, Louise A
744 S Webster Ave , Green Bay WI 54301-3505 -
Mchenry, Jean M
3263 Eaton Road , Green Bay WI 54311 -
Mann, Randi
2641 Development Drive , Green Bay WI 54311