Bouchard, Kerri L

Bouchard, Kerri L is an individual health care provider with primary practice located at 5457 Twin Knolls Rd Ste 100 , Columbia MD 21045-3263. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Bouchard, Kerri L can be contacted via phone (410) 689-7400.

Contact Information

Primary practice address
5457 Twin Knolls Rd Ste 100 Columbia MD 21045-3263
Phone: (410) 689-7400
Fax: (224) 532-2780
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R130529 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X R130529 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R130529 Maryland

Profile Details

NPI number 1144588294
LBN Legal business name Bouchard, Kerri L
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2012
Last updated Jan 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144588294 NPPES
Maryland MEDICAID 067423100
Maryland Other S062-0536

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