IndividualActive
Corrie Booqua, RN
NPI 1992684492 · Administrator Registered Nurse · Gallup, NM
Provider details
- NPI number
- 1992684492
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- R36475 (NM)
Specialties & taxonomies
Nursing Service Providers
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Approximate (ZIP-level) locationGet directions
Mailing address
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Registry dates
- Enumerated
- 2025-08-28
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.