Individual
CASEY BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 E 2ND ST STE 308, SCOTTSDALE, AZ 85251-5627
(480) 214-9000
Mailing address
7301 E 2ND ST STE 308, SCOTTSDALE, AZ 85251-5627
(480) 214-9000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
242372
AZ
Other
Enumeration date
06/22/2020
Last updated
09/05/2023
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