# DINAH S. BOURDON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124052568
- **Gender:** F
- **Credential:** ANP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 151301 | NC | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 900130 | NC | — |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 05/10/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1124052568 | — | NC |
| 05 | — | 7005232 | — | NC |
| 05 | — | NP1545 | — | SC |