CAROLINE SAMANTHA BOURASSA CPNP NPI 1760968408

NPI Information

NPI: 1760968408
Provider Name: CAROLINE SAMANTHA BOURASSA, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1275 YORK AVE
NEW YORK, NY
ZIP 10065
Phone: (212) 639-2000
Get Directions

Caroline Samantha Bourassa, CPNP is a pediatrics nurse practitioner in New York, NY. Caroline Samantha Bourassa, CPNP NPI is 1760968408. 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:

1275 YORK AVE
NEW YORK, NY
ZIP 10065-007
Phone: (212) 639-2000

The NPI 1760968408 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/16/2018 and was last updated on 3/16/2022.

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	363LP0200X	Nurse Practitioner	Pediatrics	382879	NEW YORK	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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