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NPI Profile for ANNE BOURGEOIS in PHOENIX, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI # | 1568829554 |
|
| Status | Active | |
| Credentials | NPC | |
| Entity | Individual | |
| Enumeration date | 01/21/2016 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANNE BOURGEOIS
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ANNE BOURGEOIS, NPC