Individual provider · Type 1 NPI
Victoria Bourque, A.P.R.N.
Psychiatric/Mental Health Nurse Practitioner · Glastonbury, CT
NPI number
1982638375
Active
Practice location
55 Nye Rd, Suite 102
Glastonbury, CT 06033-1281
Fax (860) 633-3517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 001374 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1982638375
Victoria Bourque, A.P.R.N.'s National Provider Identifier is 1982638375, issued on Jul 10, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glastonbury, CT. The record was last updated on Mar 10, 2014.