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Individual

MRS. MELISSA R BOURGEOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9720
Mailing address
1310 CLARO DR, MANCHESTER, CT 06042-7317
(860) 230-1148

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
12.015116
CT

Other

Enumeration date
07/24/2025
Last updated
07/24/2025
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