Boucher, Cynthia

Boucher, Cynthia is an individual health care provider with primary practice located at 13067 N Telecom Pkwy , Temple Terrace FL 33637-0926. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Boucher, Cynthia can be contacted via phone (813) 779-6303.

Contact Information

Primary practice address
13067 N Telecom Pkwy Temple Terrace FL 33637-0926
Phone: (813) 779-6303
Fax: (786) 868-0012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP3309792 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP3309792 Florida

Profile Details

NPI number 1700169505
LBN Legal business name Boucher, Cynthia
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2011
Last updated Feb 1st, 2024 - about 2 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 1700169505 NPPES
Florida MEDICAID 004144000

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