Boucher, Kati Lyn

Boucher, Kati Lyn is an individual health care provider with primary practice located at 268 Stillwater Ave , Bangor ME 04401-3945. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Boucher, Kati Lyn can be contacted via phone (207) 973-6100.

Contact Information

Primary practice address
268 Stillwater Ave Bangor ME 04401-3945
Phone: (207) 973-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP171090 Maine

Profile Details

NPI number 1760904734
LBN Legal business name Boucher, Kati Lyn
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2017
Last updated Jul 12th, 2017 - about 8 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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