Individual
MS. CHRISTINE CAROLINE BOURGOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6006 49TH ST N STE 120, SAINT PETERSBURG, FL 33709-2149
(727) 528-5739
(727) 528-5855
Mailing address
6006 49TH ST N STE 120, SAINT PETERSBURG, FL 33709-2149
(727) 528-5739
(727) 528-5855
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
0001180899
VA
363LF0000X
Family Nurse Practitioner
Primary
9166500
FL
Other
Enumeration date
11/09/2011
Last updated
04/27/2021
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