Danielle M Bourque, RD, LDN, CD-N
Dietitian, Registered in Wilbraham, Massachusetts
1831655059- Practice location
- 470 Main St, Wilbraham, MA 01095-2900
- Phone
- 413-258-0010
- Fax
- —
- Last updated
- February 12, 2019
Danielle Marie Bourque is a Dietitian, Registered based in Wilbraham, MA. Danielle Marie Bourque practices in Wilbraham, MA and has the professional credentials of RD, LDN, CD-N. The NPI Number for Danielle Marie Bourque is 1831655059 and holds a License No. 001634. The current practice location address for Danielle Marie Bourque is 470 Main St, Wilbraham, MA 01095-2900 and can be reached out via phone at 413-258-0010.
Provider Profile Details
- NPI Number
- 1831655059
- Provider Name
- Danielle Marie Bourque
- Credential
- RD, LDN, CD-N
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 470 Main St, Wilbraham, MA 01095-2900
- Phone Number
- 413-258-0010
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 12, 2019
- Last Update Date
- February 12, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 470 Main St
Wilbraham, MA 01095-2900 - City
- Wilbraham
- State
- Massachusetts
- Zip
- 01095-2900
- Phone Number
- 413-258-0010
Provider Business Mailing Address Details
- Address
- 470 Main St
Wilbraham, MA 01095-2900 - City
- Wilbraham
- State
- MA
- Zip
- 01095-2900
- Phone Number
- 860-818-1760
License Information
- License Number (1)
- 001634
- Taxonomy (1)
- Dietitian, Registered · 133V00000X
- License Number (2)
- 4448
- License State (2)
- MA
- Taxonomy (2)
- Dietitian, Registered · 133V00000X
- License Number (3)
- 001634
- License State (3)
- CT
- Taxonomy (3)
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Wilbraham, MA
View all Dietitian, Registered providers in Wilbraham →Frequently Asked Questions
What is the NPI number of Danielle M Bourque, RD, LDN, CD-N?
The NPI number of Danielle M Bourque, RD, LDN, CD-N is 1831655059. It was assigned on February 12, 2019 and is currently active in the NPPES registry.
What is the specialty of Danielle M Bourque, RD, LDN, CD-N?
Danielle M Bourque, RD, LDN, CD-N is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed under license number 001634.
Where does Danielle M Bourque, RD, LDN, CD-N practice?
The practice location is 470 Main St, Wilbraham, MA 01095-2900. The office can be reached at 413-258-0010 (phone).
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 1831655059 directly on the NPPES registry website.