Rose Koffi Bourgoin in Plymouth Meeting - Licensed Practical Nurse
Rose Koffi Bourgoin - NPI 1285835801
Rose Koffi Bourgoin is a Licensed Practical Nurse in Plymouth Meeting, Pennsylvania. Rose Koffi Bourgoin practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Rose Koffi Bourgoin is 1285835801. The last update date is 2007-07-08.
Rose Koffi Bourgoin's current location address is 2250 Hickory Rd, Plymouth Meeting, Pennsylvania. You can contact this provider via phone number 6108341122. The mailing address for Rose Koffi Bourgoin is 2250 Hickory Rd, Plymouth Meeting, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Rose Koffi Bourgoin |
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Address | 2250 Hickory Rd, Plymouth Meeting, Pennsylvania |
Phone Number | 6108341122 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LPN |
NPI Number Detail
NPI Number | 1285835801 |
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Provider Enumeration Date | 2007-05-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2250 Hickory Rd |
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City | Plymouth Meeting |
State | Pennsylvania (PA) |
Post Code | 194621047 |
Phone Number | 6108341122 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Licensed Practical Nurse |
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Taxonomy | 164W00000X |
Licence No | L2-0009474 |
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique 10-digit identifier code assigned to Rose Koffi Bourgoin by the Centers for Medicare & Medicaid Services?
The Rose Koffi Bourgoin has been issued the NPI (National Provider Identifier) 1285835801 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Rose Koffi Bourgoin is physically located?
The Rose Koffi Bourgoin is physically situated at the following address: 2250 Hickory Rd, Plymouth Meeting, PA, 194621047.
What is Rose Koffi Bourgoin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Rose Koffi Bourgoin is Licensed Practical Nurse, and the taxonomy code that classifies this field of practice is 164W00000X.
On what date did the Rose Koffi Bourgoin receive the assignment of its 1285835801 from the Centers for Medicare & Medicaid Services?
The Rose Koffi Bourgoin was issued its 1285835801 by the Centers for Medicare & Medicaid Services on 2007-05-30.
When was the information regarding Rose Koffi Bourgoin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Rose Koffi Bourgoin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.