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

Nicholas Bourque

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447019567

Nicholas Bourque is a Student in an Organized Health Care Education/Training Program in Cleveland, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone: (216) 778-4486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1447019567
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 19, 2024
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024
Mailing address2328 Scholl Rd, University Hts, OH 44118-3636

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