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

Charity Bouchard, PA

Individual provider Physician Assistant · NPI 1659745172

Charity Bouchard, PA is a Physician Assistant in Grand Rapids, Michigan. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1900 Wealthy St SE Ste 290
Grand Rapids, MI 49506-2969
Phone: (616) 774-8345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1659745172
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 20, 2015
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

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