Individual
JOANNA BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1281 E MAIN ST STE 3, STAMFORD, CT 06902-3553
(203) 321-0777
Mailing address
49 CRESTVIEW AVE, STAMFORD, CT 06907-1908
(203) 321-0777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
86143
CT
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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