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

Individual provider Nutritionist · NPI 1740659226

Shannon Boucher, MNT is a Nutritionist in Denver, Colorado. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

1751 Pontiac St
Denver, CO 80220-1831
Phone: (720) 382-4574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X

Record details

NPI number1740659226
Entity typeIndividual (Type 1)
GenderFemale
Credentials MNT
Sole proprietorYes
NPI enumeratedSeptember 15, 2015
Last updated in NPPESSeptember 15, 2015

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