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

Mrs. Eleanor Hebert Bourque, FNP-C

Individual provider Family Nurse Practitioner · NPI 1215596531

Mrs. Eleanor Hebert Bourque, FNP-C is a Nurse Practitioner in Cottonwood, Arizona. Qualified in 2019, 7 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Arizona and Louisiana.

Years since qualifying
7
Licensed in
AZ, LA
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

450 S Willard St Ste 103
Cottonwood, AZ 86326-6744
Phone: (928) 634-9573
Fax: (928) 634-0135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 296958 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 206214 (LA)

Record details

NPI number1215596531
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 10, 2019
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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