IndividualActive
Anna Bouchard, AGACNP-BC
NPI 1477062594 · Gerontology Nurse Practitioner · Marietta, GA
Provider details
- NPI number
- 1477062594
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- RN164917 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
61 Whitcher St Ne
Marietta, GA 30060-1176
Phone: (770) 422-2326
Fax: (770) 422-7797
Approximate (ZIP-level) locationGet directions
Mailing address
61 Whitcher St Ne Ste 3110
Marietta, GA 30060-1179
Registry dates
- Enumerated
- 2017-09-20
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.