Individual provider · Type 1 NPI
Erika Leigh Bourdeaux, DNP, RN, CPNP-PC
Pediatric Nurse Practitioner · Beloit, WI
NPI number
1487196895
Active
Practice location
2825 Prairie Ave
Beloit, WI 53511-1844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 7358-33 (WI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1487196895
Erika Leigh Bourdeaux, DNP, RN, CPNP-PC's National Provider Identifier is 1487196895, issued on Nov 16, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Beloit, WI. The record was last updated on Nov 16, 2016.