Individual
CHARLES BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5528 MORRIS ST, PHILADELPHIA, PA 19144-3807
(267) 243-9206
Mailing address
5528 MORRIS ST, PHILADELPHIA, PA 19144-3807
(267) 243-9206
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP021873
PA
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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