Catherine Boucher, FNP
Individual provider Active NPI Dermatopathology Physician · Millville, DE
NPI 1457727679 · NPPES record last updated Nov 21, 2024
Key facts
- NPI
- 1457727679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatopathology Physician 207ND0900X
- License
- LG-0011897 (DE)
- Practice address
- 32782 Cedar Drive
Suite 2
Millville, DE 19967 - Phone
- (302) 257-5089
- Fax
- (843) 881-5453
- NPI assigned
- Aug 12, 2015
- Sex
- Female
- Sole proprietor
- No
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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0011897 | DE | MD | Dermatopathology Physician |
| 19695 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savvyderm Skin Clinic | Dermatology | Current |
Accepting new patients |
Locations
32782 Cedar Dr
Unit 2
Millville, DE 19967
Phone (302) 257-5089
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 19695 | SC | |
| Family Nurse Practitioner | 363LF0000X | 19695 | SC | |
| Dermatopathology Physician | 207ND0900X | LG-0011897 | DE | Yes |
Addresses
Primary practice location
32782 Cedar Drive
Suite 2
Millville, DE 19967
Mailing address
32782 Cedar Dr Ste 2
Millville, DE 19967-6919
Phone (302) 448-6874
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3370 | Medicaid | SC | |
| SC77017818 | Other | SC | MEDICARE PTAN |
Other names
- Catherine Cummings
Other providers in Millville, DE
- Ascend Behavioral Health LLC
- Atlantic Orthopaedics PA
- Beachview Chiropractic Center
- Beachview Family Health, LLC
- Timothy Douglas Bloom
- Bradley Jay Boyer
- Brianna Brancato
- Donielle Lynn Brasure
- BVCC
- Ananda Cann
All providers in Millville, DE · Dermatopathology Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2024. 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.