Active NPIIndividual provider

Andrea Bourke, RPA-C

Physician Assistant, Medical in Londonderry, New Hampshire

NPI Number1194070466
Practice location
1C Commons Dr Unit 16, Londonderry, NH 03053-3441
Fax
603-818-8374
Last updated
September 12, 2025

Andrea Bourke is a Physician Assistant, Medical based in Londonderry, NH. Andrea Bourke practices in Londonderry, NH and has the professional credentials of RPA-C. The NPI Number for Andrea Bourke is 1194070466 and holds a License No. 015768 (NY). The current practice location address for Andrea Bourke is 1C Commons Dr Unit 16, Londonderry, NH 03053-3441 and can be reached out via phone at 603-965-3551 and via fax at 603-818-8374.

Provider Profile Details

NPI Number
1194070466
Provider Name
Andrea Bourke
Credential
RPA-C
Provider Entity Type
Individual
Gender
Female
Address
1C Commons Dr Unit 16, Londonderry, NH 03053-3441
Phone Number
603-965-3551
Fax Number
603-818-8374
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
July 23, 2012
Last Update Date
September 12, 2025
Certification Date
June 27, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1C Commons Dr Unit 16
Londonderry, NH 03053-3441
Zip
03053-3441
Phone Number
603-965-3551
Fax Number
603-818-8374
Londonderry, NH 03053Get directions →

Provider Business Mailing Address Details

Address
784 Central Ave
Dover, NH 03820-2549
City
Dover
State
NH
Zip
03820-2549
Phone Number
603-742-5556

License Information

License Number (1)
015768
License State (1)
NY
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
5643
License State (2)
CT
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary
License Number (3)
1660
License State (3)
NH
Taxonomy (3)
Physician Assistant, Medical · 363AM0700X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Andrea Bourke, RPA-C?

The NPI number of Andrea Bourke, RPA-C is 1194070466. It was assigned on July 23, 2012 and is currently active in the NPPES registry.

What is the specialty of Andrea Bourke, RPA-C?

Andrea Bourke, RPA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 015768.

Where does Andrea Bourke, RPA-C practice?

The practice location is 1C Commons Dr Unit 16, Londonderry, NH 03053-3441. The office can be reached at 603-965-3551 (phone) or 603-818-8374 (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 1194070466 directly on the NPPES registry website.

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