Individual provider · Type 1 NPI

Elliotte Schafer Bourne, PA-C

Physician Assistant · Rolla, MO

NPI number 1366155442 Active

Practice location

1050 W 10th St
Rolla, MO 65401-2905

Call (573) 364-9000 Map

Fax (573) 426-2108

Other practice locations

  • 1000 Gw Ln, Waynesville, MO 65583-2339 · (573) 774-2715
  • 1000 W 10th St, Rolla, MO 65401-2905 · (573) 364-9000
  • 1000 W 10th St, Rolla, MO 65401-2905 · (573) 458-8899

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2024005757 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366155442

Elliotte Schafer Bourne, PA-C's National Provider Identifier is 1366155442, issued on Jan 3, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rolla, MO. The record was last updated on May 21, 2026.