Individual provider · Type 1 NPI

Dolores I. Van Bourgondien, ANP-BC

Psychiatric/Mental Health Nurse Practitioner · Grand Forks, ND

NPI number 1457788390 Active

Practice location

3674 S Washington St
Grand Forks, ND 58201-5766

Fax (701) 732-2501

Mailing address

PO Box 5210
Grand Forks, ND 58206-5210

Other practice locations

  • 508 Upland St, Kenai, AK 99611-8026 · (907) 335-7500

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XARNP9239798 (FL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR54243 (ND)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1457788390

Dolores I. Van Bourgondien, ANP-BC's National Provider Identifier is 1457788390, issued on Oct 10, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Forks, ND. The record was last updated on Jan 27, 2026.