Michelle L Bourne in Norman - Physician Assistant
Michelle L Bourne - NPI 1124027263
Michelle L Bourne is a Physician Assistant in Norman, Oklahoma. Michelle L Bourne practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michelle L Bourne is 1124027263. The last update date is 2014-02-12.
Michelle L Bourne's current location address is 4008 Wood Castle St, Norman, Oklahoma. You can contact this provider via phone number 4059198490. The mailing address for Michelle L Bourne is 4008 Wood Castle St, Norman, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle L Bourne |
|---|---|
| Address | 4008 Wood Castle St, Norman, Oklahoma |
| Phone Number | 4059198490 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1124027263 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2014-02-12 |
Provider Mailing Address Detail
| Address | 4008 Wood Castle St |
|---|---|
| City | Norman |
| State | Oklahoma (OK) |
| Post Code | 730721795 |
| Phone Number | 4059198490 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1164 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100138520A | OK | -- |
Post Comment/ Review Below
Can you provide the Michelle L Bourne's physical address?
The Michelle L Bourne is physically located at 4008 Wood Castle St, in the city of Norman, OK, with the postal code 730721795.
What is the Michelle L Bourne's area of specialization and corresponding taxonomy classification?
The Michelle L Bourne's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
What is Michelle L Bourne's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michelle L Bourne is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did the Michelle L Bourne receive its 1124027263?
The Michelle L Bourne was issued its 1124027263 on 2005-07-20, which is the date when the organization was assigned this unique identifier.
On what date did the Michelle L Bourne receive its 1124027263 assignment from the Centers for Medicare & Medicaid Services?
The Michelle L Bourne was assigned its 1124027263 by the Centers for Medicare & Medicaid Services on 2005-07-20.
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