Individual
MS. MARY BERNADETTE BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
(401) 457-3371
Mailing address
28 FREEBORN ST, NEWPORT, RI 02840-1822
(401) 849-1722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN29721
RI
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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