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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GERTHA BOUCICAULT

Active

GERTHA BOUCICAULT is a Family Nurse Practitioner healthcare provider located in QUEENS VILLAGE, New York. NPI 1619285814 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · QUEENS VILLAGE, NY

Registration Details

NPI Number
1619285814
Provider Type
Individual
Gender
Female
NPI Issued
Sep 22, 2010 (15.884866963582 yrs)
Last Updated
Jun 30, 2023
Licenses
573530 (NY)
F345182-01 (NY)

Practice Information

Address
21211 102ND AVE
APT. C4
QUEENS VILLAGE, NY, 114291106
Browse NY providers · Browse ZIP 11429
Phone
7184688298
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in QUEENS VILLAGE, NY

Name Credential NPI
DOMINIQUE CASSANDRA DARGUIN 1215269741
MRS. LYDIA BROWN NP 1033520168
MISS MELISSA R DEZAN MS, FNP-BC 1346609773
CHANTEL BENNING FNP 1215478250
NATHALIE ANN SICARD NURSE PRACTITIONER 1851880108
KISHA JEGEDE-GABBIDON FNP-BC 1760959530
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.