Provider Demographics
NPI:1508744061
Name:BOUCHER, TRISHA (RN)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:
Last Name:BOUCHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 STAGE RD
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03290-6202
Mailing Address - Country:US
Mailing Address - Phone:603-205-3548
Mailing Address - Fax:
Practice Address - Street 1:3 TERRASCAPE PKWY
Practice Address - Street 2:
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878-1115
Practice Address - Country:US
Practice Address - Phone:603-609-6726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-23
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH078118-21163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care