Bourque, Victoria

Bourque, Victoria is an individual health care provider with primary practice located at 55 Nye Rd Suite 102, Glastonbury CT 06033-1281. 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. Bourque, Victoria can be contacted via phone (860) 657-3056.

Contact Information

Primary practice address
55 Nye Rd Suite 102 Glastonbury CT 06033-1281
Phone: (860) 657-3056
Fax: (860) 633-3517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 001374 Connecticut

Profile Details

NPI number 1982638375
LBN Legal business name Bourque, Victoria
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Mar 10th, 2014 - about 10 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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