Peggy Bourque is a Nurse Practitioner in Houston, Texas. Peggy Bourque practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Peggy Bourque is 1336164789. The last update date is 2022-01-31.
Peggy Bourque's current location address is 6411 Fannin St, Houston, Texas. You can contact this provider via phone number 7137044060 and fax number 7137046851. The mailing address for Peggy Bourque is 6411 Fannin St, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peggy Bourque |
|---|---|
| Address | 6411 Fannin St, Houston, Texas |
| Phone Number | 7137044060 |
| Fax Number | 7137046851 |
| Sole Proprietor | N |
| Credentials | MSN, RN, C |
NPI Number Detail
| NPI Number | 1336164789 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2022-01-31 |
Provider Mailing Address Detail
| Address | 6411 Fannin St |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770301501 |
| Phone Number | 7137044060 |
| Fax Number | 7137046851 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 521576 |
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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 |
|---|---|---|---|
| 117954105 | TX | -- | |
| 8Y1601 | TX | BCBS | |
| 117954106 | TX | -- | |
| 117954107 | TX | CSHCN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Peggy Bourque?
The Peggy Bourque has been issued the NPI (National Provider Identifier) 1336164789 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Peggy Bourque located?
The Peggy Bourque is located at 6411 Fannin St, Houston, TX 770301501.
What is Peggy Bourque's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Peggy Bourque is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336164789 to Peggy Bourque?
The Peggy Bourque received its 1336164789 assignment from the Centers for Medicare & Medicaid Services on 2006-07-13.
When was the information regarding Peggy Bourque most recently updated?
The details pertaining to the Peggy Bourque, including its address, specialty, and other relevant information, were last refreshed on 2022-01-31.