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Charles Bourne
Gerontology Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1326639642

Charles Bourne is a Gerontology Nurse Practitioner based in Philadelphia, PA and is specialized in Gerontology. Charles Bourne practices in Philadelphia, PA. The NPI Number for Charles Bourne is 1326639642 and holds a License No. SP021873 (Pennsylvania).

The current practice location address for Charles Bourne is 5528 Morris St, Philadelphia, PA and can be reached out via phone at 267-243-9206.

Location: 5528 Morris St, Philadelphia, PA, 19144-3807
person
Provider Profile Details
NPI Number
1326639642
Provider Name
Charles Bourne
Credential
Provider Entity Type
Individual
Gender
Male
Address
5528 Morris St, Philadelphia, PA, 19144-3807
Phone Number
267-243-9206
Fax Number
Provider Enumeration Date
01/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5528 Morris St
City
State
Zip
19144-3807
Phone Number
267-243-9206
Fax Number
person
Provider Business Mailing Address Details
Address
5528 Morris St
City
State
Zip
19144-3807
Phone Number
267-243-9206
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
SP021873 (Pennsylvania)
Definition
Definition to come...
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