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

Gertha Boucicault

Individual provider Registered Nurse · NPI 1619285814

Gertha Boucicault is a Registered Nurse in Queens Village, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
Specialties on file
2

Practice location Address checks out

21211 102nd Ave Apt C4
Queens Village, NY 11429-1106
Phone: (718) 468-8298
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F345182-01 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 573530 (NY)

Record details

NPI number1619285814
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2010
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023

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