Boursiquot, Marie Dienane

Boursiquot, Marie Dienane is an individual health care provider with primary practice located at 7505 New Hampshire Ave Ste 314 , Takoma Park MD 20912-6972. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Boursiquot, Marie Dienane can be contacted via phone (301) 326-2997.

Contact Information

Primary practice address
7505 New Hampshire Ave Ste 314 Takoma Park MD 20912-6972
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R132789 Maryland

Profile Details

NPI number 1730859455
LBN Legal business name Boursiquot, Marie Dienane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2021
Last updated May 12th, 2024 - about 7 months 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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