Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALISA BOUCHER, MS
Active Sole ProprietorNutritionist · WATERFORD, MI
Registration Details
- NPI Number
- 1629740113
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2021 (4.5918763123728 yrs)
- Last Updated
- Oct 2, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
4233 ISLAND PARK DRWATERFORD, MI, 483291916Browse MI providers · Browse ZIP 48329
- Phone
- 2484686823
- Primary Specialty
-
Nutritionist
133N00000X
- Additional Specialty
- Nutritionist
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.