Christina Marie Bohurjak, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN58582 Issued in ME

Practice address

400 Western Ave
South Portland, ME 04106-1704

Phone

(207) 560-0436

NPI assigned

Jul 18, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1558096255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WAINWRIGHT CIR E",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062519",
            "telephone_number": "207-242-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061704",
            "telephone_number": "207-560-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHURJAK",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "RN58582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bohurjch1@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "400 Western Ave",
            "city": "South Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041061704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth A Blazick, MD
• Mary Bloch
• Crista Blondell, LMT
• Emily Blossom, PA-C
• Joanne C Boeschenstein, LCSW
• George E Bokinsky, M.D.
• Marie Boneparth, PT
• Kathy L Boothby, APRN
• Patrick Boscherini
• Sanchita Bose, MD

• Addiction (Substance Use Disorder) Registered Nurse in South Portland, ME
• Providers in South Portland, ME by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.