IndividualActive
Dolores Van Bourgondien, ANP-BC
NPI 1457788390 · Psychiatric/Mental Health Nurse Practitioner · Grand Forks, ND
Provider details
- NPI number
- 1457788390
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- ARNP9239798 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3674 S Washington St
Grand Forks, ND 58201-5766
Phone: (701) 205-3000
Fax: (701) 732-2501
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5210
Grand Forks, ND 58206-5210
Additional practice locations (1)
- 508 Upland StKenai, AK 99611-8026Phone: (907) 335-7500
Registry dates
- Enumerated
- 2013-10-10
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.