Natalie Louise Boucher, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Laurel, MT
NPI 1689339244 · NPPES record last updated Nov 8, 2021
Key facts
- NPI
- 1689339244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 179699 (MT)
- Practice address
- 130 E 13TH St
Laurel, MT 59044-1828 - Phone
- (406) 855-0797
- NPI assigned
- Nov 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 179699 | MT | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 179699 | MT | Yes |
Addresses
Primary practice location
130 E 13TH St
Laurel, MT 59044-1828
Mailing address
130 E 13TH St
Laurel, MT 59044-1828
Phone (406) 855-0797
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All providers in Laurel, MT · Family Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 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.