Crystal Bouchard, RD

Registered Dietitian · Magnolia, DE

Individual Active NPI

NPI number 1366792111

Practice location

142 Trillium Dr
Magnolia, DE 19962-9476
Phone
(302) 359-6106

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NPI record

NPI
1366792111
Entity type
Individual (Type 1)
Enumeration date
September 19, 2012
Last updated
September 19, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X — DE

About Crystal Bouchard

Crystal Bouchard, RD is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 142 Trillium Dr, Magnolia, DE 19962-9476. The NPI number 1366792111 was assigned on September 19, 2012 and the record was last updated on September 19, 2012.

Frequently asked questions

What is the NPI number of Crystal Bouchard, RD?

The NPI number is 1366792111.

What is the phone number of Crystal Bouchard?

The phone number listed for the practice location is (302) 359-6106.

Where is Crystal Bouchard located?

142 Trillium Dr, Magnolia, DE 19962-9476.

What is the taxonomy code for Crystal Bouchard?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.