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NOELLE ELIZABETH BOUCHER PA-C
NPI 1285457440
Pediatrics - Pediatric Emergency Medicine in Philadelphia, PA

Active since November 06, 2024
3401 CIVID CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-1000 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Noelle Elizabeth Boucher Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOELLE ELIZABETH BOUCHER PA-C (NPI 1285457440) is an individual pediatric emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA066009) and active in the NPI registry since November 2024. She maintains a secondary practice location in King Of Prussia.

NPPES Registry Identity

NPI1285457440
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameNOELLE ELIZABETH BOUCHERCredential: PA-C
Location Address3401 CIVID CENTER BLVDPhiladelphia, PA 19104
Mailing Address910 S Front StAllentown, PA 18103-3383 · (610) 533-6715
Phone(215) 590-1000
Sole ProprietorNo
Enumeration DateNovember 6, 2024
NPPES CertifiedNovember 4, 2024
✔ NPI 1285457440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in PA · MA066009
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
3401 CIVID CENTER BLVD, Philadelphia, PA 19104
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Secondary Practice Location 1

Location 1550 S Goddard BlvdKing Of Prussia, PA 19406-2922 · Phone (215) 590-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Noelle Boucher's NPI number?

The NPI number for Noelle Boucher is 1285457440. It was assigned to this individual provider in the NPPES registry on November 6, 2024.

Where is Noelle Boucher located?

Noelle Boucher practices at 3401 Civid Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.

What is Noelle Boucher's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

When was this NPI record last updated?

The NPPES record for Noelle Boucher was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.