Cynthia Kay Bouffard NP

NPI 1023192432 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1023192432
Gender Female
Enumeration Date 10/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2145 E 170TH STREET
S HOLLAND IL, 60473, US
Phone (708) 895-3255
Fax (708) 895-3315
Business Location
510 BRUCE RD
LOCKPORT IL, 60441, US
Phone (815) 726-9397
Fax
Toxanomy
Taxonomy Code 363L00000X
License State
License Number
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According to our database, Cynthia Kay Bouffard NP NPI is 1023192432, taxonomy code is 363L00000X Cynthia Kay Bouffard NP physically located at 2145 E 170th Street, S Holland IL, 60473. NPI Number Cynthia Kay Bouffard NP has the Individual type.

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1023192432 NPI number is provided on an as is basis without warranty of any kind. 1023192432 is maintained by the National Plan & Provider Enumeration System. The contents of Cynthia Kay Bouffard NP are for informational purposes only.