Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ELIETTE YADIRA BOUIE, PA-C
ActiveMRS. ELIETTE YADIRA BOUIE, PA-C is a Vascular Surgery healthcare provider located in LAVALE, Maryland. NPI 1538132261 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · LAVALE, MD
Registration Details
- NPI Number
- 1538132261
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2006 (20.508937186548 yrs)
- Last Updated
- Nov 26, 2024
- License
-
C0003577 (MD)
Practice Information
- Address
-
GONZAGA INTERVENTIONAL PAIN MANAGEMENT957 NATIONAL HWYLAVALE, MD, 215020001Browse MD providers · Browse ZIP 21502
- Phone
- 2403627128
- Fax
- 2403627731
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.