Mario Bouchard
ICU Nurse · Gallup, NM
UnclaimedNPI 1104350859
- Primary taxonomy
- 163WC0200X
- Enumerated
- 2017-04-19
- Practice location
- Gallup, NM
- Last NPPES update
- 2017-04-19
State licenses
- FL · Registered nurse · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.