Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KIMBERLY RENEE BOUCHARD, RN, AEMT
Active Sole ProprietorChild & Adolescent Psychiatric Nurse · ALLEGAN, MI
Registration Details
- NPI Number
- 1023666096
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 3, 2019 (6.6707785926872 yrs)
- Last Updated
- Sep 3, 2019
- Licenses
-
1645682 (MI)4704305934 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3285 122ND AVEALLEGAN, MI, 490109511Browse MI providers · Browse ZIP 49010
- Phone
- 2696736617
- Fax
- 2696865260
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
Other Child & Adolescent Psychiatric Nurse Providers in ALLEGAN, MI
| Name | Credential | NPI |
|---|---|---|
| ROBERT WILLIAM GRIFFITH | RN | 1124731252 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.