Bourque, Anne Marie

Bourque, Anne Marie is an individual health care provider with primary practice located at 950 Winter St 4Th Floor, Waltham MA 02451-1424. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bourque, Anne Marie can be contacted via phone (781) 419-8354.

Contact Information

Primary practice address
950 Winter St 4Th Floor Waltham MA 02451-1424
Phone: (781) 419-8354
Fax: (781) 419-8479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 132090 Massachusetts

Profile Details

NPI number 1871544981
LBN Legal business name Bourque, Anne Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jul 30th, 2015 - about 11 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 1871544981 NPPES
Massachusetts MEDICAID 0706779

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