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Individual

SIOBHAN BOURGET

Active
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Individual

SIOBHAN BOURGET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

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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