Individual
SIOBHAN BOURGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
593 EDDY ST, 4TH FLOOR MEDICAL ICU, PROVIDENCE, RI 02903
(401) 444-4000
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN2289655
MA
163WC0200X
Critical Care Medicine Registered Nurse
RN50929
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN03798
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
DO NOT HAVE NUMBERS
—
Enumeration date
02/17/2023
Last updated
12/18/2023
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