IndividualActive
Andrea Bourke, RPA-C
NPI 1194070466 · Medical Physician Assistant · Londonderry, NH
Provider details
- NPI number
- 1194070466
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RPA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 015768 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1c Commons Dr Unit 16
Londonderry, NH 03053-3441
Phone: (603) 965-3551
Fax: (603) 818-8374
Approximate (ZIP-level) locationGet directions
Mailing address
784 Central Ave
Dover, NH 03820-2549
Registry dates
- Enumerated
- 2012-07-23
- Last updated
- 2025-09-12
- Certified
- 2022-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.