Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Noelle Elizabeth Boucher, PA-C

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1285457440

Noelle Elizabeth Boucher, PA-C is a Pediatric Emergency Medicine (Pediatrics) Physician in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3401 Civid Center Blvd
Philadelphia, PA 19104
Phone: (215) 590-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 S Goddard Blvd, King Of Prussia, PA 19406-2922 — (215) 590-1000

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence MA066009 (PA)

Record details

NPI number1285457440
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 6, 2024
Last updated in NPPESNovember 6, 2024
Certification dateNovember 4, 2024

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