Individual
DAVID BOURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
1201 KENNETH ST, MORGAN CITY, LA 70380-1353
(985) 384-3355
(985) 384-2884
Mailing address
3133 MATHILDE MARIE DR, GRAY, LA 70359-4535
(985) 688-4598
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP07365
LA
363LF0000X
Family Nurse Practitioner
Primary
AP07365
LA
Other
Enumeration date
06/29/2013
Last updated
12/21/2020
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