Boucke, Courtney Leigh
Boucke, Courtney Leigh is an individual health care provider with primary practice located at 300 Sierra College Dr 170, Grass Valley CA 95945-5082. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Boucke, Courtney Leigh can be contacted via phone (530) 273-4376.Contact Information
Primary practice address
300 Sierra College Dr 170
Grass Valley CA 95945-5082
Phone: (530) 273-4376
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 20879 | California |
Profile Details
| NPI number | 1831433119 |
|---|---|
| LBN Legal business name | Boucke, Courtney Leigh |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 26th, 2012 |
| Last updated | Feb 21st, 2014 - about 10 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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