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

Dolores I Van Bourgondien, ANP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1457788390

Dolores I Van Bourgondien, ANP-BC is a Nurse Practitioner in Grand Forks, North Dakota. Qualified in 2013, 13 years ago. Practices with Peterson Medical Clinics LLC, a 89-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and North Dakota.

Years since qualifying
13
Licensed in
FL, ND
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

3674 S Washington St
Grand Forks, ND 58201-5766
Phone: (701) 205-3000
Fax: (701) 732-2501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 508 Upland St, Kenai, AK 99611-8026 — (907) 335-7500

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R54243 (ND)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence ARNP9239798 (FL)

Record details

NPI number1457788390
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-BC
Sole proprietorYes
NPI enumeratedOctober 10, 2013
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Peterson Medical Clinics Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

Other providers in Grand Forks