Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DEBORA A BOUCHER, APRN-FPA, CNM
Active Sole ProprietorMS. DEBORA A BOUCHER, APRN-FPA, CNM is a Advanced Practice Midwife healthcare provider located in ANTIOCH, Illinois. NPI 1710142799 is currently active in the NPPES registry. Verify at CMS.
Advanced Practice Midwife · ANTIOCH, IL
Registration Details
- NPI Number
- 1710142799
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2008 (18.09728297257 yrs)
- Last Updated
- Sep 30, 2023
- Licenses
-
041.349335 (IL)209007144 (IL)277000293 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
40826 N RIDGE CIRANTIOCH, IL, 600029545Browse IL providers · Browse ZIP 60002
- Phone
- 8479757115
- Fax
- 8889590674
- Primary Specialty
-
Advanced Practice Midwife
367A00000X
- Additional Specialty
- Advanced Practice Midwife
- Additional Specialty
- Advanced Practice Midwife
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.