Individual
MS. MOLLY LAURA BOURGAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19537 SAGER LOOP, BEND, OR 97702
(858) 401-3314
Mailing address
19537 SAGER LOOP, BEND, OR 97702
(858) 401-3314
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
16810
CA
Other
Enumeration date
04/14/2007
Last updated
01/29/2018
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