MRS. ELEANOR HEBERT BOURQUE FNP-C NPI 1215596531

NPI Information

NPI: 1215596531
Provider Name: MRS. ELEANOR HEBERT BOURQUE, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
450 S WILLARD ST STE 103
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 634-9573
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MRS. Eleanor Hebert Bourque, FNP-C is a family nurse practitioner in Cottonwood, AZ with 5 years of experience. MRS. Eleanor Hebert Bourque, FNP-C NPI is 1215596531. 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:

450 S WILLARD ST STE 103
COTTONWOOD, AZ
ZIP 86326-744
Phone: (928) 634-9573
Fax: (928) 634-0135

The NPI 1215596531 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 6/10/2019 and was last updated on 9/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	206214	LOUISIANA	No
2	363LF0000X	Nurse Practitioner	Family	296958	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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