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

Mallia Bourque

Individual provider Registered Nurse · NPI 1992628283

Mallia Bourque is a Registered Nurse in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2026

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2260208 (MA)

Record details

NPI number1992628283
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address55 Fruit St, Boston, MA 02114-2621

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