Individual
ASHLEY E. BOURASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NNP-BC
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2397
Mailing address
16 SAM ST, ENFIELD, CT 06082-5758
(508) 367-0684
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
8440
CT
Other
Enumeration date
08/26/2019
Last updated
09/09/2022
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