Mary Bourbon
NPI #1023499548 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1023499548
- Entity Type
- Individual
- Name
- Mary Bourbon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jun 10, 2015
- Last Updated
- Jun 2, 2016
Practice Location
- Address
- 1600 S. CAIN HIGHWAY
- Address 2
- SUITE 401
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061
- Phone
- (410) 768-5050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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