Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brenda Bourque

Individual provider Homemaker · NPI 1811769607

Brenda Bourque is a Homemaker in Charleston, West Virginia. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

4510 Pennsylvania Ave Ste C
Charleston, WV 25302-4835
Phone: (304) 965-9081
Fax: (304) 471-2488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Homemaker (primary) Taxonomy 376J00000X

Record details

NPI number1811769607
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2023
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023
Mailing addressPo Box 440, Cedar Grove, WV 25039-0440

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