Search › Maryland › 208VP0000X
Eliette Bouie, PA-C
NPI 1538132261 · on the registry since 2006
Practice
- Address
- Gonzaga Interventional Pain Management
957 National Hwy
Lavale, MD 21502 - Phone
- (240) 362-7128
- Fax
- (240) 362-7731
Registry record
- Primary taxonomy
- 208VP0000X
208VP0000X
- Also registered as
- 363AM0700X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland