Bourassa, Kimberly C

Bourassa, Kimberly C is an individual health care provider with primary practice located at 1801 American Blvd E , Bloomington MN 55425-1232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bourassa, Kimberly C can be contacted via phone (952) 767-2267.

Contact Information

Primary practice address
1801 American Blvd E Bloomington MN 55425-1232
Phone: (952) 767-2267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9071 Minnesota

Profile Details

NPI number 1104590660
LBN Legal business name Bourassa, Kimberly C
Credentials DNP, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2021
Last updated Oct 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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