MARIO BOUCHARD
NPI 1104350859
Registered Nurse - Critical Care Medicine in Gallup, NM

Active since April 19, 2017
516 E NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mario Bouchard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIO BOUCHARD (NPI 1104350859) is an individual critical care medicine provider in Gallup, New Mexico, licensed in Florida (RN 3173492) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1104350859
Entity TypeIndividualMale
Primary Taxonomy163WC0200X
Provider Legal NameMARIO BOUCHARD
Location Address516 E NIZHONI BLVDGallup, NM 87301-5748
Mailing Address516 E Nizhoni BlvdGallup, NM 87301-5748
Sole ProprietorNo
Enumeration DateApril 19, 2017
NPI 1104350859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License Licensed in FL · RN 3173492
516 E NIZHONI BLVD, Gallup, NM 87301

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Medical-Surgical)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Bouchard's NPI number?

The NPI number for Mario Bouchard is 1104350859. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Mario Bouchard located?

Mario Bouchard practices at 516 E Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Mario Bouchard's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

When was this NPI record last updated?

The NPPES record for Mario Bouchard was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.