Active NPIIndividual provider

Ms. Melissa N Bourque, APRN

Nurse Practitioner, Adult Health in Moultonborough, New Hampshire

NPI Number1962955062
Practice location
984 Whittier Hwy, Moultonborough Family Medicine, Moultonborough, NH 03254
Fax
603-476-5396
Last updated
May 18, 2021

Melissa Nicole Bourque is a Nurse Practitioner, Adult Health based in Moultonborough, NH. Melissa Nicole Bourque practices in Moultonborough, NH and has the professional credentials of APRN. The NPI Number for Melissa Nicole Bourque is 1962955062 and holds a License No. 059980-23 (NH). The current practice location address for Melissa Nicole Bourque is 984 Whittier Hwy, Moultonborough Family Medicine, Moultonborough, NH 03254 and can be reached out via phone at 603-476-2216 and via fax at 603-476-5396.

Provider Profile Details

NPI Number
1962955062
Provider Name
Melissa Nicole Bourque
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
984 Whittier Hwy, Moultonborough Family Medicine, Moultonborough, NH 03254
Phone Number
603-476-2216
Fax Number
603-476-5396
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Other Names
Ms. Melissa Nicole La Branche, APRN (Former Name)
Provider Enumeration Date
July 26, 2016
Last Update Date
May 18, 2021
Certification Date
May 18, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
984 Whittier Hwy
Moultonborough Family Medicine
Moultonborough, NH 03254
Zip
03254
Phone Number
603-476-2216
Fax Number
603-476-5396
Moultonborough, NH 03254Get directions →

Provider Business Mailing Address Details

Address
240 South Main St.
Wolfeboro, NH 03894
City
Wolfeboro
State
NH
Zip
03894
Phone Number
603-569-7500
Fax Number
603-515-2031

License Information

License Number
059980-23
License State
NH
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

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 Ms. Melissa N Bourque, APRN?

The NPI number of Ms. Melissa N Bourque, APRN is 1962955062. It was assigned on July 26, 2016 and is currently active in the NPPES registry.

What is the specialty of Ms. Melissa N Bourque, APRN?

Ms. Melissa N Bourque, APRN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NH under license number 059980-23.

Where does Ms. Melissa N Bourque, APRN practice?

The practice location is 984 Whittier Hwy, Moultonborough Family Medicine, Moultonborough, NH 03254. The office can be reached at 603-476-2216 (phone) or 603-476-5396 (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 1962955062 directly on the NPPES registry website.

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