Ryan Bourgoine
Nurse Practitioner, Acute Care in Albuquerque, NM. Individual provider (NPI-1).
NPI number1215744990
StatusActive
Last updated in NPPESJul 27, 2026
Details
- NPI
- 1215744990
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ryan Bourgoine
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2024
- Certification date
- Jul 27, 2026
- Last updated
- Jul 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 90733 | NM | Yes |
| 163WC0200X | Registered Nurse, Critical Care Medicine | RN80646 | NM |
Practice location
504 Elm St NeAlbuquerque, NM 87102-2512
Phone 505-841-1000
Mailing address
504 Elm St NeAlbuquerque, NM 87102-2512
Phone 505-841-1000
Other practice locations
45211 Helm St
Plymouth, MI 48170-6023
Plymouth, MI 48170-6023
Phone 734-525-9712
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