Individual provider · Type 1 NPI
Mary Bourang, FNP
Family Nurse Practitioner · Redlands, CA
NPI number
1316622251
Active
Practice location
1473 Ford St Ste 104
Redlands, CA 92373-3915
Mailing address
2108 Collett Ave Unit 406
Corona, CA 92879-8655
Other practice locations
- 225 W Hospitality Ln Ste 103, San Bernardino, CA 92408-3244 · (909) 886-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2023033598 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1316622251
Mary Bourang, FNP's National Provider Identifier is 1316622251, issued on Jun 19, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Redlands, CA. The record was last updated on Jan 27, 2025.