Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bruce Bouchard

Individual provider Registered Nurse · NPI 1366626152

Bruce Bouchard is a Registered Nurse in Gallup, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.

Licensed in
NM
In the registry since
2007

Practice location Address checks out

516 Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Fax: (505) 722-1310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence R46704 (NM)

Record details

NPI number1366626152
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 28, 2007
Last updated in NPPESDecember 28, 2007
Mailing addressPo Box 1337, Gallup, NM 87305-1337

Other providers in Gallup