IndividualActive
Bradley Boucher, CRNA
NPI 1821446600 · Certified Registered Nurse Anesthetist · Portland, ME
Provider details
- NPI number
- 1821446600
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- RNA183057 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-2526
Fax: (207) 662-6236
Approximate (ZIP-level) locationGet directions
Mailing address
190 Riverside St Unit 6b
Portland, ME 04103-1073
Registry dates
- Enumerated
- 2016-06-02
- Last updated
- 2018-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.