Tiffany A Bourque, RN Valid NPI
Individual provider · Registered Nurse · Portland, ME
- NPI
- 1184986465
- Type
- Individual (Type 1)
- Primary specialty
- Registered Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 163W00000X
- License number
- R059616 (ME)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2012-06-12
- Last updated
- 2012-06-12
Practice location
180 Park Ave, First Floor
Portland, ME 04102-2957
(207) 874-2141