Danielle Marie Bourque, RD, LDN, CD-N

Registered Dietitian · Wilbraham, MA

Individual Active NPI

NPI number 1831655059

Practice location

470 Main St
Wilbraham, MA 01095-2900
Phone
(413) 258-0010

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NPI record

NPI
1831655059
Entity type
Individual (Type 1)
Enumeration date
February 12, 2019
Last updated
February 12, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 001634 CT
Registered Dietitian 133V00000X 001634 —
Registered Dietitian 133V00000X 4448 MA

About Danielle Bourque

Danielle Marie Bourque, RD, LDN, CD-N is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 470 Main St, Wilbraham, MA 01095-2900. The NPI number 1831655059 was assigned on February 12, 2019 and the record was last updated on February 12, 2019.

Danielle Bourque lists 3 licenses in the registry: #001634 (CT) for Registered Dietitian; #001634 for Registered Dietitian; #4448 (MA) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Danielle Marie Bourque, RD, LDN, CD-N?

The NPI number is 1831655059.

What is the phone number of Danielle Bourque?

The phone number listed for the practice location is (413) 258-0010.

Where is Danielle Bourque located?

470 Main St, Wilbraham, MA 01095-2900.

What is the taxonomy code for Danielle Bourque?

The primary taxonomy code is 133V00000X – Registered Dietitian; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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