Diane Bourque is a Nurse Practitioner in Boston, Massachusetts. Diane Bourque practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Diane Bourque is 1235395773. The last update date is 2008-08-04.
Diane Bourque's current location address is 147 Milk St Fl 9, Boston, Massachusetts. You can contact this provider via phone number 6175598374 and fax number 6174213487. The mailing address for Diane Bourque is 147 Milk St Fl 9, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Bourque |
|---|---|
| Address | 147 Milk St Fl 9, Boston, Massachusetts |
| Phone Number | 6175598374 |
| Fax Number | 6174213487 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1235395773 |
|---|---|
| Provider Enumeration Date | 2008-08-04 |
| Last Updated Date | 2008-08-04 |
Provider Mailing Address Detail
| Address | 147 Milk St Fl 9 |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21094806 |
| Phone Number | 6175598374 |
| Fax Number | 6174213487 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 124668 |
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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 |
|---|---|---|---|
| 367524 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Diane Bourque by the Centers for Medicare & Medicaid Services?
The Diane Bourque has been issued the NPI (National Provider Identifier) 1235395773 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Diane Bourque's facilities are situated?
The facilities of Diane Bourque are physically located at the following address: 147 Milk St Fl 9, Boston, MA, 21094806.
What is the Diane Bourque's specialty and taxonomy code?
The Diane Bourque's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Diane Bourque receive the assignment of its 1235395773 from the Centers for Medicare & Medicaid Services?
The Diane Bourque was issued its 1235395773 by the Centers for Medicare & Medicaid Services on 2008-08-04.
As of what date were the details pertaining to Diane Bourque last refreshed?
The information related to the Diane Bourque, including its address, specialty, and other relevant details, was last updated on 2008-08-04.
NPI Number: 1730182858
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