Bourdon, Dinah S.

Bourdon, Dinah S. is an individual health care provider with primary practice located at 501 Billingsley Rd , Charlotte NC 28211-1009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bourdon, Dinah S. can be contacted via phone (704) 358-2700.

Contact Information

Primary practice address
501 Billingsley Rd Charlotte NC 28211-1009
Phone: (704) 358-2700
Fax: (704) 358-2716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 151301 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 900130 North Carolina

Profile Details

NPI number 1124052568
LBN Legal business name Bourdon, Dinah S.
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated May 10th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124052568 NPPES
North Carolina MEDICAID 1124052568
North Carolina MEDICAID 7005232
North Carolina MEDICAID NP1545

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