Individual
NILDA C GOMEZ-BOUFFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
23901 LAHSER RD, SOUTHFIELD, MI 48034-6035
(248) 357-3360
(248) 357-0915
Mailing address
6336 BEECH DALY, DEARBORN HEIGHTS, MI 48127-3066
(313) 565-8517
(248) 357-0915
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704082875
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NB082875
BCBSM NUMBER
MA
Enumeration date
06/13/2006
Last updated
09/26/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us