National Provider Identifier
Noah C Bourne, DNP, AGPCNP-BC
Noah C Bourne, DNP, AGPCNP-BC is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Orchard Park, NY and a listed phone number of (716) 675-2500.
Profile Overview
- NPI
- 1194508002
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- August 15, 2023
- Last Updated
- August 15, 2023
Practice Location
- 3055 Southwestern Blvd Ste 100
- Orchard Park, NY 14127-1231
Phone: (716) 675-2500
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1194508002
- Entity Type
- Individual
- Last Name
- Bourne
- First Name
- Noah
- Middle Name
- C
- Credential
- DNP, AGPCNP-BC
- Mailing Street Address
- 3055 Southwestern Blvd Ste 100
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1231
- Mailing Country
- US
- Mailing Phone
- (716) 675-2500
- Practice Street Address
- 3055 Southwestern Blvd Ste 100
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1231
- Practice Country
- US
- Practice Phone
- (716) 675-2500
- Enumeration Date
- August 15, 2023
- Last Updated
- August 15, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 15, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)