IndividualActive
Gloria Bourque, ANP
NPI 1750341053 · Nurse Practitioner · Fairbanks, AK
Provider details
- NPI number
- 1750341053
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Female
- License
- 545 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1919 Lathrop St
Ste 220
Fairbanks, AK 99701
Phone: (907) 452-1739
Fax: (907) 452-2384
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 73410
Fairbanks, AK 99707-3410
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.