Charles Bourne
Charles Bourne is a Gerontology Nurse Practitioner in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2021
Practice location Address checks out
5528 Morris StPhiladelphia, PA 19144-3807
Phone: (267) 243-9206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence SP021873 (PA) |
|---|
Record details
| NPI number | 1326639642 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 29, 2021 |
| Last updated in NPPES | January 29, 2021 |
| Certification date | January 29, 2021 |
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