Individual provider · Type 1 NPI
Mary Paige Bourbeau, ARNP
Family Nurse Practitioner · St. Petersburg, FL
NPI number
1255672796
Active
Practice location
5500 9th St N.
St. Petersburg, FL 33703
Fax (727) 821-7213
Mailing address
1839 Central Ave
St. Petersburg, FL 33713-8900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9253468 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | 9253468 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1255672796
Mary Paige Bourbeau, ARNP's National Provider Identifier is 1255672796, issued on Mar 7, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Petersburg, FL. The record was last updated on Nov 22, 2017.