Charles Bourne is a gerontology nurse practitioner in Philadelphia, PA. Charles Bourne NPI is 1326639642. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5528 MORRIS ST
PHILADELPHIA, PA
ZIP 19144-807
Phone: (267) 243-9206
The NPI 1326639642 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 1/29/2021 and was last updated on 1/29/2021.