Individual
JOELLE BOUCAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
Mailing address
6501 FANNIN ST STE NC114, HOUSTON, TX 77030-2703
(713) 798-7356
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209025248
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417344003
—
WI
Enumeration date
04/21/2015
Last updated
04/10/2025
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