Individual provider · Type 1 NPI

Corrie Booqua, RN

Administrator Registered Nurse · Gallup, NM

NPI number 1992684492 Active

Practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Specialties and licenses

TaxonomyCodeLicense
Administrator Registered Nurse Primary 163WA2000XR36475 (NM)

Administrator Registered Nurse: Definition to come...

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About NPI 1992684492

Corrie Booqua, RN's National Provider Identifier is 1992684492, issued on Aug 28, 2025. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Gallup, NM. The record was last updated on Aug 28, 2025.