Individual provider · Type 1 NPI

Peggy Bourque, MSN, RN, CS, ENP

Nurse Practitioner · Houston, TX

NPI number 1336164789 Active

Practice location

6411 Fannin St
Houston, TX 77030-1501

Fax (713) 704-6851

Mailing address

6431 Fannin St # JJL270
Houston, TX 77030-1501

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X521576 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1336164789

Peggy Bourque, MSN, RN, CS, ENP's National Provider Identifier is 1336164789, issued on Jul 13, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Houston, TX. The record was last updated on Jan 31, 2022.