Kimberly C Bourassa, DNP, APRN, PMHNP-BC
NPI #1104590660 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1104590660
- Entity Type
- Individual
- Name
- Kimberly C Bourassa, DNP, APRN, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- DNP, APRN, PMHNP-BC
- Enumeration Date
- Aug 6, 2021
- Last Updated
- Oct 30, 2023
Practice Location
- Address
- 1801 AMERICAN BLVD E
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55425-1232
- Phone
- (952) 767-2267
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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