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Individual

KEITH JAMES BOURGEOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
1 VA CTR, AUGUSTA, ME 04330-6795
(207) 623-8411
Mailing address
1 VA CENTER, AUGUSTA, ME 04330
(207) 623-8411

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111595-23
NH
363LF0000X
Family Nurse Practitioner
CNP171069
ME

Other

Enumeration date
08/01/2017
Last updated
01/15/2026
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