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

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400XRN24110 (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.