Organization
BOUGIE CRNA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWLADYS DOROTHEE EMAZE BEST CRNA (OWNER)
(202) 557-6453
Entity
Organization
Contact information
Practice address
13760 N 93RD AVE STE 101, PEORIA, AZ 85381-4203
(623) 547-2600
Mailing address
PO BOX 41150, MESA, AZ 85274-1150
(480) 425-2160
(480) 839-4727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
09/29/2025
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