Individual
CLAUDIANUS H BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
407 ALBANY SHAKER RD STE 100, LOUDONVILLE, NY 12211-1962
(518) 435-1300
(518) 435-1397
Mailing address
PO BOX 1081, TROY, NY 12181-1081
(518) 791-9607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F337303
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995513
—
NY
Enumeration date
07/18/2012
Last updated
07/29/2024
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