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

MS. Virginia L. Bourdeau, RPH

Individual provider Pharmacist · NPI 1407031289

MS. Virginia L. Bourdeau, RPH is a Nurse Practitioner in Rensselaer, New York. Qualified in 2021, 5 years ago. Practices with Samaritan Hospital of Troy, New York, a 260-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

2 Empire Dr Ste 100
Rensselaer, NY 12144-5730
Phone: (518) 286-4899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 2nd Ave, Watervliet, NY 12189-2211 — (518) 271-0311

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 349073 (NY)
Pharmacist Taxonomy 183500000X · Licence 040042 (NY)

Record details

NPI number1407031289
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedDecember 30, 2007
Last updated in NPPESFebruary 16, 2022
Certification dateFebruary 16, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Samaritan Hospital Of Troy, New York — 260 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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