Doctor Name: | MRS. PATRICIA A BOURKE |
NPI Number: | 1346340932 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 317 |
Business Practice Address: | 65-1267 Kawaihae Rd Kamuela, HI - 967438406 |
Business Phone Number: | 8088859606 |
Business Fax Number: | 8088859506 |
Mailing Address: | Po Box 2799, KAMUELA |
State: | HI |
Postal Code: | 967432799 |
Phone Number: | 8088859606 |
Fax Number: | 8088859506 |
NPI Enumeration Date: | 09/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 317 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |