Kimberly C Bourassa, DNP, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Bloomington, MN. Kimberly C Bourassa, DNP, APRN, PMHNP-BC NPI is 1104590660. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1801 AMERICAN BLVD E
BLOOMINGTON, MN
ZIP 55425-232
Phone: (952) 767-2267
The NPI 1104590660 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/6/2021 and was last updated on 10/30/2023.