Individual
NOA SHANNON BOURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN RN
Contact information
Practice address
105 EASTERN AVE, ROCHESTER, NH 03867-2007
(603) 332-3848
Mailing address
2 PARTRIDGE GREEN WAY, ROCHESTER, NH 03867-4557
(603) 312-0614
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
063525-21
NH
Other
Enumeration date
08/22/2020
Last updated
08/22/2020
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