Individual provider · Type 1 NPI

Ryan Bourgoine

Acute Care Nurse Practitioner · Albuquerque, NM

NPI number 1215744990 Active

Practice location

504 Elm St NE
Albuquerque, NM 87102-2512

Other practice locations

  • 45211 Helm St, Plymouth, MI 48170-6023 · (734) 525-9712

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X90733 (NM)
Critical Care Medicine Registered Nurse 163WC0200XRN80646 (NM)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1215744990

Ryan Bourgoine's National Provider Identifier is 1215744990, issued on Dec 16, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 27, 2026.