Individual
ANA GABRIELA BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
305 7TH AVE FL 10, NEW YORK, NY 10001-6146
(212) 982-8383
(646) 755-8316
Mailing address
295 FLATBUSH AVENUE EXT, 3RD FLOOR, BROOKLYN, NY 11201-3001
(718) 522-1144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
657829-1
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
F421132-1
NY
Other
Enumeration date
03/21/2013
Last updated
03/19/2019
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