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NPI Code Detail

MEDICARE: MARIA CHRISTINA BOUCHARD N.P.

MEDICARE:   MARIA CHRISTINA BOUCHARD  N.P.
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
1363LF0000XFamily Nurse Practitioner6871878ID
2207RC0000XCardiovascular Disease PhysicianNP6684CA

General Provider Information

NPI Number : 1518985142
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA CHRISTINA BOUCHARD N.P.
Provider Business Mailing Address
First Line : PO BOX 660879
Second Line :
City : ARCADIA
State : CA
Zip : 91066-0879
Country : US
Telephone Number : 626-447-0296
Fax Number : 626-447-6057
Provider Business Practice Location Address
First Line : 1600 N ROSE AVE
Second Line :
City : OXNARD
State : CA
Zip : 93030-3722
Country : US
Telephone Number : 805-988-2843
Fax Number : 805-988-2844
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 02/10/2026

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Directions to “ MARIA CHRISTINA BOUCHARD N.P.” Practice Location

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