Individual
DIANNE LYNN BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
717 ENCINO PL NE STE 26, ALBUQUERQUE, NM 87102-2629
(505) 884-4545
(505) 884-4114
Mailing address
717 ENCINO PL NE STE 26, ALBUQUERQUE, NM 87102-2629
(505) 884-4545
(505) 884-4114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-03360
NM
Other
Enumeration date
08/25/2017
Last updated
07/21/2022
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