Individual provider · Type 1 NPI

Rose Koffi Bourgoin, LPN

Licensed Practical Nurse · Plymouth Meeting, PA

NPI number 1285835801 Active

Practice location

2250 Hickory Rd, Suite 240
Plymouth Meeting, PA 19462-1047

Call (610) 834-1122 Map

Mailing address

5907 Byron Ct
Newark, DE 19702-3052

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL2-0009474 (DE)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1285835801

Rose Koffi Bourgoin, LPN's National Provider Identifier is 1285835801, issued on May 30, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Plymouth Meeting, PA. The record was last updated on Jul 8, 2007.