ANA GABRIELA BOURNE


Address: 305 7th Ave Fl 10, New York, NY 10001-6146
Phone: 2129828383

ANA GABRIELA BOURNE (NPI# 1154663797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154663797
Entity Type Individual
Full Name ANA GABRIELA BOURNE
Other Name GABRIELA BOURNE
Credential R.N.
Practice Address 305 7th Ave Fl 10
New York
NY 10001-6146
Mailing Address 295 Flatbush Avenue Ext
3rd Floor
Brooklyn
NY 11201-3001
Practice Telephone 2129828383
Practice Fax Number 6467558316
Mailing Telephone 7185221144
Enumeration Date 2013-03-21
Last Update Date 2019-03-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 657829-1 NY Nursing Service Providers
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
F421132-1 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
295 Flatbush Avenue Ext, 3rd Floor, Brooklyn, NY 112013001 7185221144

Office Location

Street Address 305 7TH AVE FL 10
City NEW YORK
State NY
Zip Code 10001-6146

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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