Individual
DIANE BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
133 BROOKLINE AVE, ADULT TELECOM, BOSTON, MA 02215-3904
(617) 421-1000
Mailing address
147 MILK ST FL 9, PROVIDER ENROLLMENT, BOSTON, MA 02109-4806
(617) 559-8374
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
124668
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0367524
—
MA
Enumeration date
08/04/2008
Last updated
08/04/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us