MELANIE R BOURKE RN PHN NPI 1588051213

NPI Information

Melanie R Bourke, RN, PHN is a psychiatric/mental health nurse practitioner in St Louis Park, MN with 7 years of experience. Melanie R Bourke, RN, PHN NPI is 1588051213. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2017

The provider's business location address is:

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN
ZIP 55416-527
Phone: (952) 993-3123
Fax: (952) 993-3286

The NPI 1588051213 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 4/21/2015 and was last updated on 12/12/2018.

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:

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