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

Mr. Ryan Bourgoine

Individual provider Acute Care Nurse Practitioner · NPI 1215744990

Mr. Ryan Bourgoine is an Acute Care Nurse Practitioner in Albuquerque, New Mexico. Works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2024
Specialties on file
2

Practice location Address checks out

504 Elm St NE
Albuquerque, NM 87102-2512
Phone: (505) 841-1000
Show map & directions

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

Additional practice locations (1)

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 90733 (NM)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN80646 (NM)

Record details

NPI number1215744990
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 16, 2024
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

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