ASHLEY BOURGOIS LABANCA PMHNP NPI 1053807917

NPI Information

  • NPI: 1053807917
  • Provider Name: ASHLEY BOURGOIS LABANCA, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 712 N MANDAN ST
    BISMARCK, ND
    ZIP 58501
  • Phone: (888) 454-3827

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NPI Details

Ashley Bourgois Labanca, PMHNP is a psychiatric/mental health nurse practitioner in Bismarck, ND with 8 years of experience. Ashley Bourgois Labanca, PMHNP NPI is 1053807917. 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:

712 N MANDAN ST
BISMARCK, ND
ZIP 58501-615
Phone: (888) 454-3827
Fax: (833) 938-1401

The NPI 1053807917 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 7/3/2018 and was last updated on 3/19/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthR37952NORTH DAKOTANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthF404120NEW YORKYes

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: 11/21/2025

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