MS. Molly Laura Bourgault, NP

NPI #1326263500 in Bend, Oregon

Provider Information

NPI Number
1326263500
Entity Type
Individual
Name
MS. Molly Laura Bourgault, NP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Adult Health
Credential
NP
Enumeration Date
Apr 14, 2007
Last Updated
Jan 29, 2018

Practice Location

Address
19537 SAGER LOOP
City
Bend
State
Oregon
ZIP Code
97702
Phone
(858) 401-3314

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health

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