Individual provider · Type 1 NPI

Marley Boucicaut Boucicaut

Registered Nurse · Brooklyn, NY

NPI number 1053113456 Active

Practice location

6424 18th Ave
Brooklyn, NY 11204-3729

Call (917) 830-2695 Map

Mailing address

703 San Marco Cir Apt 102
Lake Park, FL 33403-1845

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	RN9658465 (NJ)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1053113456

Marley Boucicaut Boucicaut's National Provider Identifier is 1053113456, issued on Mar 26, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Mar 26, 2025.