Individual provider · Type 1 NPI
Claire Dorothy Bourgault, RN
Case Management Registered Nurse · Providence, RI
NPI number
1376554618
Active
Practice location
830 Chalkstone Ave
Providence, RI 02908-4734
Fax (401) 525-2549
Mailing address
22 Arrow Ave
Warwick, RI 02886-5102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | RN24110 (RI) |
Case Management Registered Nurse: Definition to come...
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About NPI 1376554618
Claire Dorothy Bourgault, RN's National Provider Identifier is 1376554618, issued on Aug 11, 2006. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Providence, RI. The record was last updated on Jul 8, 2007.