Individual provider · Type 1 NPI
Carolynn Ann Bourgeois, NP
Adult Health Nurse Practitioner · Boston, MA
NPI number
1992863054
Active
Practice location
75 Francis St
Boston, MA 02115-6110
Mailing address
13 Oscars Way
Maynard, MA 01754-2482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 190180 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1992863054
Carolynn Ann Bourgeois, NP's National Provider Identifier is 1992863054, issued on Dec 4, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.