Larry Bourrage, RN in Collinsville, MS - Registered Nurse

Larry Bourrage, RN is a Registered Nurse based in Collinsville, Mississippi. Larry Bourrage is licensed to practice in Mississippi (license number R890304) and his current practice location is 12485 Schamberville Ln, Collinsville, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 480-4754.

NPI number for Larry Bourrage is 1528829512 and his current mailing address is 12485 Schamberville Ln, Collinsville, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528829512.

Contact Information

	Larry Bourrage, RN
	12485 Schamberville Ln, Collinsville, MS 39325-9195
	(601) 480-4754
	Not Available

Provider's Profile

Full Name	Larry Bourrage
Gender	Male
Speciality	Registered Nurse
Location	12485 Schamberville Ln, Collinsville, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1528829512
Provider Enumeration Date: 01/17/2024
Last Update Date: 01/17/2024

Medical Identifiers

Medical identifiers for Larry Bourrage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528829512	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R890304 (Mississippi)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry Bourrage is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Larry Bourrage, RN 12485 Schamberville Ln, Collinsville, MS 39325-9195 Ph: (601) 480-4754	Larry Bourrage, RN 12485 Schamberville Ln, Collinsville, MS 39325-9195 Ph: (601) 480-4754

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Registered Nurse Nurses in Collinsville, MS

Gina V Whatley, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12981 Highway 494, Collinsville, MS 39325 Phone: 601-513-5150
Ms. Sue B. Hall, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 13264 Post County Line Rd, Collinsville, MS 39325 Phone: 601-986-8842
Amber Elisa Vetter, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10980 Billings Ln, Collinsville, MS 39325 Phone: 575-520-0853
Mrs. Lisa Wiliams, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8237 A Okatibbee Dam Rd, Collinsville, MS 39325 Phone: 601-480-0319

Larry Bourrage, RN - Registered Nurse in Collinsville, MS