Bourbeau, Brien M
Bourbeau, Brien M is an individual health care provider with primary practice located at 2350 Sunset Point Rd Ste C , Clearwater FL 33765-1443. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Bourbeau, Brien M can be contacted via phone (727) 797-3155.Contact Information
Primary practice address
2350 Sunset Point Rd Ste C
Clearwater FL 33765-1443
Phone: (727) 797-3155
Fax: (727) 797-4301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP 9235386 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN9235386 | Florida |
Profile Details
| NPI number | 1265773790 |
|---|---|
| LBN Legal business name | Bourbeau, Brien M |
| Credentials | APRN-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2013 |
| Last updated | Mar 4th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265773790 | NPPES |
| Florida | MEDICAID | 106339300 |
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