Gomez-Bouffard, Nilda C

Gomez-Bouffard, Nilda C is an individual health care provider with primary practice located at 23901 Lahser Rd , Southfield MI 48034-6035. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Gomez-Bouffard, Nilda C can be contacted via phone (248) 357-3360.

Contact Information

Primary practice address
23901 Lahser Rd Southfield MI 48034-6035
Phone: (248) 357-3360
Fax: (248) 357-0915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704082875 Michigan

Profile Details

NPI number 1669415477
LBN Legal business name Gomez-Bouffard, Nilda C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Sep 26th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669415477 NPPES
Massachusetts Other NB082875 BCBSM NUMBER

Popular Providers