Individual
RENEE LILLIAN BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7285 S DURANGO DR, LAS VEGAS, NV 89113-2098
(702) 407-2933
Mailing address
8105 MUSTANG HILL CT, LAS VEGAS, NV 89131-5505
(702) 641-9415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN001873
NV
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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