Individual
MRS. NINA C CHASE-BOUAMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2767 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-8227
(928) 704-6741
Mailing address
2767 SILVER CREEK RD STE A, BULLHEAD CITY, AZ 86442-8227
(928) 704-6741
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5781
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5781
STATE
AZ
Enumeration date
05/15/2007
Last updated
10/14/2025
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