Individual
CAROLINE BOURQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 LAKE OTIS PKWY, ANCHORAGE, AK 99508-5234
(907) 562-2277
Mailing address
3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508-5234
(907) 562-2277
(907) 563-3460
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
22097
AK
363LF0000X
Family Nurse Practitioner
Primary
233793
AK
Other
Enumeration date
12/13/2024
Last updated
10/23/2025
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