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

BOUVIER WILSON, LPN

Active Sole Proprietor

BOUVIER WILSON, LPN is a Nurse Practitioner healthcare provider located in QUEENS VILLAGE, New York. NPI 1841527389 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · QUEENS VILLAGE, NY

Registration Details

NPI Number
1841527389
Provider Type
Individual
Gender
Female
NPI Issued
Nov 4, 2009 (16.767121369791 yrs)
Last Updated
May 18, 2023
Licenses
713560-1 (NY)
F351127 (NY)
Sole Proprietor
Yes

Practice Information

Address
11102 207TH ST FL 1
QUEENS VILLAGE, NY, 114291708
Browse NY providers · Browse ZIP 11429
Phone
9298995136
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in QUEENS VILLAGE, NY

Name Credential NPI
MS. REHANA JAGGERNAUTH MSN, RN,FNP-C 1528213907
MS. NORVY JEAN 1144627993
JANNINE LACHMAN 1659231538
MS. CANDICE HAMER NP 1871444802
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.