Individual
MR. BRIEN M BOURBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-C
Contact information
Practice address
2350 SUNSET POINT RD STE C, CLEARWATER, FL 33765-1443
(727) 797-3155
(727) 797-4301
Mailing address
2350 SUNSET POINT RD STE C, CLEARWATER, FL 33765-1443
(727) 797-3155
(727) 797-4301
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9235386
FL
363LF0000X
Family Nurse Practitioner
ARNP 9235386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106339300
—
FL
Enumeration date
03/07/2013
Last updated
03/04/2022
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