Tracy B Bourg, NP

NPI #1871744854 in Harvey, Louisiana

Provider Information

NPI Number
1871744854
Entity Type
Individual
Name
Tracy B Bourg, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Oct 8, 2008
Last Updated
Oct 8, 2008

Practice Location

Address
3909 LAPALCO BLVD
Address 2
SUITE 100
City
Harvey
ZIP Code
70058-2302
Phone
(504) 349-6900

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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