Individual provider · Type 1 NPI

Gloria G. Bourque, ANP

Nurse Practitioner · Fairbanks, AK

NPI number 1750341053 Active

Practice location

1919 Lathrop St, Ste 220
Fairbanks, AK 99701

Fax (907) 452-2384

Mailing address

PO Box 73410
Fairbanks, AK 99707-3410

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X545 (AK)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1750341053

Gloria G. Bourque, ANP's National Provider Identifier is 1750341053, issued on Mar 23, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 13, 2026.