Individual
EVA BOURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RNC, IBCLC
Contact information
Practice address
185 HOLLOW TREE RIDGE RD, DARIEN, CT 06820-4021
(203) 249-6122
Mailing address
185 HOLLOW TREE RIDGE RD, DARIEN, CT 06820-4021
(203) 249-6122
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
E53522
CT
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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