Bourdess, Barbara

Bourdess, Barbara is an individual health care provider with primary practice located at 119 Walnut St , Johnstown PA 15901-1625. 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. Bourdess, Barbara can be contacted via phone (814) 534-0745.

Contact Information

Primary practice address
119 Walnut St Johnstown PA 15901-1625
Phone: (814) 534-0745
Fax: (814) 536-5431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP007489 Pennsylvania

Profile Details

NPI number 1518055235
LBN Legal business name Bourdess, Barbara
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Sep 25th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518055235 NPPES
Pennsylvania Other 1587977 HIGHMARK
Pennsylvania Other 520197 HIGHMARK
Pennsylvania MEDICAID 1012166170001 HIGHMARK

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