Individual provider · Type 1 NPI

Dominique Bourgelais, FNP-BC

Family Nurse Practitioner · Staten Island, NY

NPI number 1427806900 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	2023210664 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1427806900

Dominique Bourgelais, FNP-BC's National Provider Identifier is 1427806900, issued on May 9, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on May 10, 2024.