Michelle Boucher, RD
Individual provider Active NPI Registered Dietitian · Bow, NH
NPI 1366023657 · NPPES record last updated Apr 19, 2021
Key facts
- NPI
- 1366023657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1167 (NH)
- Practice address
- 39 Brown Hill Rd
Bow, NH 03304-4805 - Phone
- (603) 913-5048
- NPI assigned
- Apr 19, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1167 | NH | Yes |
Addresses
Primary practice location
39 Brown Hill Rd
Bow, NH 03304-4805
Mailing address
195 McGregor St Apt 116
Manchester, NH 03102-3834
Phone (603) 913-5048
Other practice location 1
195 McGregor St Apt 116
Manchester, NH 03102-3834
Phone (603) 913-5048
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1167 | Other | NH | NH BOARD OF LICENSED DIETITIANS |
Other providers in Bow, NH
- Alternative Programs and Treatment
- Babble and Beyond, LLC
- Jennifer Lynn Bellen
- Anne L. Boedecker
- Jenna Borbidge
- Bow Adult Counseling Services, P.L.L.C.
- Bow Family Dentistry, PLLC
- Bow Physical Therapy & Spine Center Limited Partnership
- Bow Physical Therapy & Spine Center Limited Partnership
- Bow School District
All providers in Bow, NH · Registered Dietitian in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 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.