Mr Peter R Bourque Jr, APRN - Nurse Practitioner in Avon, CT

Mr Peter R Bourque Jr, APRN is a Nurse Practitioner - Psychiatric/mental Health based in Avon, Connecticut. Mr Peter R Bourque Jr is licensed to practice in Connecticut (license number 5047) and his current practice location is 40 Avon Meadow Lane, Avon, Connecticut. He can be reached at his office (for appointments etc.) via phone at (860) 990-9870.

NPI number for Mr Peter R Bourque Jr is 1972853299 and his current mailing address is 40 Avon Meadow Lane, Avon, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972853299.

Contact Information

Mr Peter R Bourque Jr, APRN
40 Avon Meadow Lane,
Avon, CT 06001
(860) 990-9870
Not Available



Provider's Profile

Full NameMr Peter R Bourque Jr
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location40 Avon Meadow Lane, Avon, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972853299
  • Provider Enumeration Date: 09/13/2012
  • Last Update Date: 09/13/2012

Medical Identifiers

Medical identifiers for Mr Peter R Bourque Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972853299NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 5047 (Connecticut)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. Mr Peter R Bourque Jr 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 AddressPractice Location Address
Mr Peter R Bourque Jr, APRN
40 Avon Meadow Lane,
Avon, CT 06001

Ph: (860) 990-9870
Mr Peter R Bourque Jr, APRN
40 Avon Meadow Lane,
Avon, CT 06001

Ph: (860) 990-9870

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Nurse Practitioner Nurses in Avon, CT

Sasha Perry, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 21 Waterville Rd, Avon, CT 06001
Phone: 860-284-0182    
Deborah L Collins-perrica,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 21 Waterville Rd, Avon, CT 06001
Phone: 860-284-0182    Fax: 860-284-6804
Latonya Sheriee King, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 152 Simsbury Rd Bldg 9, Avon, CT 06001
Phone: 802-565-1755    Fax: 860-650-1920
Courtney Streeto, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 21 Waterville Rd, Avon, CT 06001
Phone: 860-284-0182    
Marjorie Arni, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 21 Waterville Rd, Avon, CT 06001
Phone: 860-674-2691    Fax: 860-677-6443
Mr. David Yarbrough, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 385 W Main St, Avon, CT 06001
Phone: 860-777-1280    
Debra Anne Gage, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 80 Fisher Drive, Hartford Hospital Cancer Center, Avon, CT 06001
Phone: 860-674-0088    

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