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MS. NICOLE LYNN BOUCHER CPNP-PC
NPI 1659674182
Nurse Practitioner - Pediatrics in Brighton, MI

Active since December 05, 2010
136 KISSANE AVE, SUITE A, BRIGHTON, MI 48116(810) 229-7337 Get Directions Write a Review

NPPES record last updated: December 5, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Nicole Lynn Boucher Cpnp-pc NPPES

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

MS. NICOLE LYNN BOUCHER CPNP-PC (NPI 1659674182) is an individual pediatrics provider in Brighton, Michigan, licensed in Michigan (4704195198) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1659674182
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. NICOLE LYNN BOUCHERCredential: CPNP-PC
Location Address136 KISSANE AVE, SUITE ABrighton, MI 48116-2467
Mailing Address136 Kissane Ave, Suite ABrighton, MI 48116-2467 · (810) 229-7337
Phone(810) 229-7337
Sole ProprietorNo
Enumeration DateDecember 5, 2010
✔ NPI 1659674182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MI · 4704195198
136 KISSANE AVE, Brighton, MI 48116
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIVINGSTON PEDIATRIC CENTER P.C.
Pediatrics
136 KISSANE AVE
BRIGHTON, MI 48116
Livingston County (810) 229-7337
AMALIA MICHAILUK FNP
Nurse Practitioner (Family)
136 KISSANE AVE
BRIGHTON, MI 48116
Livingston County (810) 229-7337
EDITH NEMETH, M.D. P.L.C.
Internal Medicine
136 KISSANE AVE, SUITE C
BRIGHTON, MI 48116
Livingston County (810) 225-2331
BIPIN DESAI MD
Pediatrics
136 KISSANE AVE
BRIGHTON, MI 48116
Livingston County (810) 229-7337

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 Nicole Boucher's NPI number?

The NPI number for Nicole Boucher is 1659674182. It was assigned to this individual provider in the NPPES registry on December 5, 2010.

Where is Nicole Boucher located?

Nicole Boucher practices at 136 Kissane Ave Suite A, Brighton, MI 48116. The listed phone number is (810) 229-7337.

What is Nicole Boucher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Nicole Boucher was last updated on December 5, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.