Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alisa Boucher, MS

Individual provider Nutrition Education Nutritionist · NPI 1629740113

Alisa Boucher, MS is a Nutrition Education Nutritionist in Waterford, Michigan. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

4233 Island Park Dr
Waterford, MI 48329-1916
Phone: (248) 468-6823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X
Nutrition Education Nutritionist Taxonomy 133NN1002X

Record details

NPI number1629740113
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedOctober 2, 2021
Last updated in NPPESOctober 2, 2021
Certification dateOctober 2, 2021
Mailing address7111 Dixie Hwy Ste 362, Clarkston, MI 48346-2077

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