Individual
ERIN BOURQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
55 EMERY MILLS RD, LEBANON, ME 04027-3129
(505) 803-4469
Mailing address
55 EMERY MILLS RD, LEBANON, ME 04027-3129
(505) 803-4469
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN66600
ME
363L00000X
Nurse Practitioner
Primary
087754-23
NH
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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