Individual
MRS. ELEANOR HEBERT BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
450 S WILLARD ST STE 103, COTTONWOOD, AZ 86326-6744
(928) 634-9573
(928) 634-0135
Mailing address
1355 N SCOTTSDALE RD STE 240, SCOTTSDALE, AZ 85257-3594
(480) 900-7256
(480) 900-7256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
206214
LA
363LF0000X
Family Nurse Practitioner
Primary
296958
AZ
Other
Enumeration date
06/10/2019
Last updated
09/19/2023
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