Individual
MARCIA BOURQUE-MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
25 WELLS ST, WESTERLY, RI 02891-2922
(401) 596-6000
Mailing address
74 CLEVELAND ST, NORFOLK, MA 02056-1048
(508) 520-2302
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
193379
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN01004
RI
Other
Enumeration date
08/11/2005
Last updated
01/09/2024
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