Individual
ANN-MARIE BOURQUE-KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7955 FOUNTAIN MESA RD, FOUNTAIN, CO 80817-1535
(719) 776-3737
(719) 776-3740
Mailing address
1400 N IH 35, AUSTIN, TX 78701-1926
(512) 324-8323
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0996123-NP
CO
363LF0000X
Family Nurse Practitioner
631311
TX
363LF0000X
Family Nurse Practitioner
Primary
CAPN0002085
CO
Other
Enumeration date
11/09/2006
Last updated
08/27/2025
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