Lydia Cornell Bourke in Grosse Pointe - Adult Health
Lydia Cornell Bourke - NPI 1578688560
Lydia Cornell Bourke is a Adult Health in Grosse Pointe, Michigan. Lydia Cornell Bourke practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Lydia Cornell Bourke is 1578688560. The last update date is 2007-08-28.
Lydia Cornell Bourke's current location address is 472 Lincoln Rd, Grosse Pointe, Michigan. You can contact this provider via phone number 2482999850 and fax number 2482999860. The mailing address for Lydia Cornell Bourke is 472 Lincoln Rd, Grosse Pointe, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lydia Cornell Bourke |
|---|---|
| Address | 472 Lincoln Rd, Grosse Pointe, Michigan |
| Phone Number | 2482999850 |
| Fax Number | 2482999860 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1578688560 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
| Address | 472 Lincoln Rd |
|---|---|
| City | Grosse Pointe |
| State | Michigan (MI) |
| Post Code | 482301609 |
| Phone Number | 2482999850 |
| Fax Number | 2482999860 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 4704215985 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5008670700 | MI | BCBS INDIVIDUAL # | |
| 4704215985 | MI | NURSE LICENSE | |
| 5187136 10 | MI | -- | |
| 4704215985 | MI | NURSE PRACTITIONER LICEN |
Post Comment/ Review Below
What is the unique identifier code issued to Lydia Cornell Bourke by the Centers for Medicare & Medicaid Services (CMS)?
The Lydia Cornell Bourke has been assigned the NPI (National Provider Identifier) 1578688560. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Lydia Cornell Bourke is physically located?
The Lydia Cornell Bourke is situated at the following address: 472 Lincoln Rd, Grosse Pointe, MI 482301609.
What is the Lydia Cornell Bourke's area of specialization and corresponding taxonomy classification?
The Lydia Cornell Bourke's specialty field is Adult Health, and it falls under the taxonomy code 363La2200X, which categorizes healthcare providers based on their specialties.
On what date did the Lydia Cornell Bourke receive its 1578688560 assignment from the Centers for Medicare & Medicaid Services?
The Lydia Cornell Bourke was assigned its 1578688560 by the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the information regarding Lydia Cornell Bourke most recently updated?
The details pertaining to the Lydia Cornell Bourke, including its address, specialty, and other relevant information, were last refreshed on 2007-08-28.