Individual provider · Type 1 NPI
Micayla Bourette, CNP
Psychiatric/Mental Health Nurse Practitioner · Worcester, MA
NPI number
1770247306
Active
Practice location
12 Queen St
Worcester, MA 01610-2411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2335159 (MA) |
| Registered Nurse | 163W00000X | RN2335159 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
31 other providers at this address
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About NPI 1770247306
Micayla Bourette, CNP's National Provider Identifier is 1770247306, issued on Oct 29, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Worcester, MA. The record was last updated on Jan 23, 2025.