Gloria G Bourque in Fairbanks - Nurse Practitioner
Gloria G Bourque - NPI 1750341053
Gloria G Bourque is a Nurse Practitioner in Fairbanks, Alaska. Gloria G Bourque practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Gloria G Bourque is 1750341053. The last update date is 2007-07-08.
Gloria G Bourque's current location address is 1919 Lathrop St, Fairbanks, Alaska. You can contact this provider via phone number 9074521739 and fax number 9074522384. The mailing address for Gloria G Bourque is 1919 Lathrop St, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gloria G Bourque |
|---|---|
| Address | 1919 Lathrop St, Fairbanks, Alaska |
| Phone Number | 9074521739 |
| Fax Number | 9074522384 |
| Sole Proprietor | X |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1750341053 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1919 Lathrop St |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 99701 |
| Phone Number | 9074521739 |
| Fax Number | 9074522384 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 545 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NP0545 | AK | -- | |
| GR0221 | AK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gloria G Bourque by the Centers for Medicare & Medicaid Services (CMS)?
The Gloria G Bourque has been assigned the NPI (National Provider Identifier) 1750341053. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Gloria G Bourque?
The Gloria G Bourque is situated at 1919 Lathrop St, in the city of Fairbanks, state of AK, with the zip code 99701.
What is Gloria G Bourque's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gloria G Bourque's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750341053 to Gloria G Bourque?
The Centers for Medicare & Medicaid Services originally issued the 1750341053 to Gloria G Bourque on 2006-03-23.
When was the Gloria G Bourque's information last updated?
The Gloria G Bourque's information was last updated on 2007-07-08.