Individual provider · Type 1 NPI
Shawn L. Bourke, NP
Women's Health Nurse Practitioner · Indianapolis, IN
NPI number
1801984224
Active
Practice location
7120 Clearvista Dr, Suite 4000
Indianapolis, IN 46256-1621
Fax (317) 577-7433
Mailing address
6626 E 75th St, Suite 500
Indianapolis, IN 46250-2805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 71001672A (IN) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1801984224
Shawn L. Bourke, NP's National Provider Identifier is 1801984224, issued on Oct 11, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 14, 2015.