Molly Laura Bourgault in Bend - Adult Health
Molly Laura Bourgault - NPI 1326263500
Molly Laura Bourgault is a Adult Health in Bend, Oregon. Molly Laura Bourgault practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Molly Laura Bourgault is 1326263500. The last update date is 2018-01-29.
Molly Laura Bourgault's current location address is 19537 Sager Loop, Bend, Oregon. You can contact this provider via phone number 8584013314. The mailing address for Molly Laura Bourgault is 19537 Sager Loop, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Molly Laura Bourgault |
|---|---|
| Address | 19537 Sager Loop, Bend, Oregon |
| Phone Number | 8584013314 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1326263500 |
|---|---|
| Provider Enumeration Date | 2007-04-14 |
| Last Updated Date | 2018-01-29 |
Provider Mailing Address Detail
| Address | 19537 Sager Loop |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 97702 |
| Phone Number | 8584013314 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 16810 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Molly Laura Bourgault by the Centers for Medicare & Medicaid Services (CMS)?
The Molly Laura Bourgault has been assigned the NPI (National Provider Identifier) 1326263500. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Molly Laura Bourgault is geographically located?
The Molly Laura Bourgault is physically situated at the following location: 19537 Sager Loop, Bend, OR, 97702.
What is Molly Laura Bourgault's specialized field of practice, and what is the corresponding taxonomy classification code?
The Molly Laura Bourgault's area of specialization is Adult Health, and the corresponding taxonomy code that categorizes this field of practice is 363La2200X.
On what date did the Molly Laura Bourgault receive the assignment of its 1326263500 from the Centers for Medicare & Medicaid Services?
The Molly Laura Bourgault was issued its 1326263500 by the Centers for Medicare & Medicaid Services on 2007-04-14.
As of what date were the details related to Molly Laura Bourgault most recently updated or revised?
The information pertaining to Molly Laura Bourgault, including its address, specialty, and other relevant details, was last updated or revised on 2018-01-29.