MEDICARE: CATALINA ROSEMARY BOUCHARD RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0200X	School Registered Nurse	283341	AZ

General Provider Information

NPI Number	:	1528749603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATALINA ROSEMARY BOUCHARD RN

Provider Business Mailing Address
First Line	:	910 E WASHINGTON ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85034-1006
Country	:	US
Telephone Number	:	602-523-5885
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 E WASHINGTON ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85034-1006
Country	:	US
Telephone Number	:	602-523-5885
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	07/31/2023

Similar Medicare Providers

1003543372 — MAHALA GROHMAN LPN
Practice Location Address:

910 E WASHINGTON ST
PHOENIX, AZ
85034-1006

Practice Phone: 602-523-5885
Practice Fax:

1174022628 — ALEXIS NORDVOLD-YOUNG SILENCE FNP-C
Practice Location Address:

45 E ROANOKE AVE STE 100
PHOENIX, AZ
85004-1006

Practice Phone: 623-552-3745
Practice Fax:

1417383902 — TERESSA RENEE CABALLERO LPN
Practice Location Address:

4221 E MCDOWELL RD APT 1006
PHOENIX, AZ
85008-7403

Practice Phone: 602-829-6826
Practice Fax:

1720565484 — JESSICA LEE CLINE OTR/L
Practice Location Address:

1006 E COCHISE DR
PHOENIX, AZ
85020-1548

Practice Phone: 541-852-6459
Practice Fax:

1760076160 — TANIKA SMITH LMT
Practice Location Address:

10 E BELL RD APT 1006
PHOENIX, AZ
85022-6302

Practice Phone: 317-366-3419
Practice Fax:

1902675580 — TTTRANSONE LLC
Practice Location Address:

2432 W PEORIA AVE, SUITE 1006
PHOENIX, AZ
85029-4727

Practice Phone: 480-543-8051
Practice Fax:

Directions to “ CATALINA ROSEMARY BOUCHARD RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.