NPI 1013429158

Adam Ryan-Lewis Boucher, CRNA

Practitioner Certified Registered Nurse Anesthetist Danbury, CT

Practice location

Address: 24 Hospital Ave, Danbury, CT 06810-6099
Phone: (860) 377-4177
Mailing address: 23 Huntingtown Rd, Newtown, CT 06470-2626

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 7352 (CT)

Other Nurse Anesthetist, Certified Registered providers in Connecticut →

Registry record

NPI: 1013429158
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Oct 2017
Record last updated: 16 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.