Heather Anne Boucher, RN-BSN, MSM
Individual provider Active NPI Registered Nurse · Westbrook, ME
NPI 1124447883 · NPPES record last updated Aug 26, 2021
Key facts
- NPI
- 1124447883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN049953 (ME)
- Practice address
- 110 Harrisburg Ave
Westbrook, ME 04092-2153 - Phone
- (207) 317-1649
- NPI assigned
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN049953 | ME | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Healthcare Training | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN049953 | ME | Yes |
Addresses
Primary practice location
110 Harrisburg Ave
Westbrook, ME 04092-2153
Mailing address
110 Harrisburg Ave
Westbrook, ME 04092-2153
Phone (207) 317-1649
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@professionalhealthcaretraining.com | Direct |
Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.