Individual
EMILY BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARPN
Contact information
Practice address
3400 TAMIAMI TRL STE 102, PORT CHARLOTTE, FL 33952-8102
(941) 625-5855
(941) 378-9120
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN11013650
FL
Other
Enumeration date
06/15/2021
Last updated
04/22/2024
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