Dolores I Van Bourgondien ANP-BC

NPI # 

Practice Address:

4700 S Washington St Ste G

Grand Forks, ND, 58201-8155

Practice Phone:

701-205-3000

Practice Fax:

701-732-2501

License Number:

R54243

License State:

ND

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Psychiatric/Mental Health

Taxonomy Code:

363LP0808X

Updated by NPPES on 7/18/2023. You can view the original data set for NPI # 1457788390 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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