MR. Larry Lee Bousquet II, FNP
NPI #1205544871 in Fort Mohave, Arizona
Provider Information
- NPI Number
- 1205544871
- Entity Type
- Individual
- Name
- MR. Larry Lee Bousquet II, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP
- Enumeration Date
- Nov 11, 2022
- Last Updated
- Nov 11, 2022
Practice Location
- Address
- 1611 E JOY LN # 1
- City
- Fort Mohave
- State
- Arizona
- ZIP Code
- 86426-8807
- Phone
- (928) 768-9496
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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