General Practice
Mrs. ELIETTE BOUIE PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1538132261 · enumerated 2006-02-13 · record updated 2024-11-26. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location GONZAGA INTERVENTIONAL PAIN MANAGEMENT, 957 NATIONAL HWY, LAVALE, MD, 21502-0001 (240) 362-7128 Fax (240) 362-7731 Google Maps Apple Maps OpenStreetMap
- Mailing address 12356 WILLIAMSPORT PIKE, GREENCASTLE, PA, 17225-8436 (520) 395-5881 Google Maps Apple Maps OpenStreetMap
Specialties
- 208VP0000X 208VP0000X · Primary · License C0003577 MD
- Physician Assistant, Medical 363AM0700X
In this directory
Locations and evidence
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Practice location
LAVALE, MD, 215020001
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.