- Practice location
- 180 Park Ave, First Floor, Portland, ME 04102-2957
- Phone
- 207-874-2141
- Fax
- 207-874-2164
- Last updated
- June 12, 2012
Tiffany A Bourque is a Registered Nurse based in Portland, ME. Tiffany A Bourque practices in Portland, ME and has the professional credentials of RN. The NPI Number for Tiffany A Bourque is 1184986465 and holds a License No. R059616 (ME). The current practice location address for Tiffany A Bourque is 180 Park Ave, First Floor, Portland, ME 04102-2957 and can be reached out via phone at 207-874-2141 and via fax at 207-874-2164.
Provider Profile Details
- NPI Number
- 1184986465
- Provider Name
- Tiffany A Bourque
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 180 Park Ave, First Floor, Portland, ME 04102-2957
- Phone Number
- 207-874-2141
- Fax Number
- 207-874-2164
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2012
- Last Update Date
- June 12, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 180 Park Ave
First Floor
Portland, ME 04102-2957 - City
- Portland
- State
- Maine
- Zip
- 04102-2957
- Phone Number
- 207-874-2141
- Fax Number
- 207-874-2164
Provider Business Mailing Address Details
- Address
- 389 Congress St
Room 307
Portland, ME 04101-3566 - City
- Portland
- State
- ME
- Zip
- 04101-3566
License Information
- License Number
- R059616
- License State
- ME
- Taxonomy
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tiffany A Bourque, RN?
The NPI number of Tiffany A Bourque, RN is 1184986465. It was assigned on June 12, 2012 and is currently active in the NPPES registry.
What is the specialty of Tiffany A Bourque, RN?
Tiffany A Bourque, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in ME under license number R059616.
Where does Tiffany A Bourque, RN practice?
The practice location is 180 Park Ave, First Floor, Portland, ME 04102-2957. The office can be reached at 207-874-2141 (phone) or 207-874-2164 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184986465 directly on the NPPES registry website.