ANN-MARIE BOURQUE-KOCH NP

SHANE EDWARD KELLER MD PA

Dr ANN-MARIE BOURQUE-KOCH NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2006.

Contact

SHANE EDWARD KELLER MD PA

505 W LOUIS HENNA BLVD
SUITE 100 PARKWAY PRIMARY CARE
AUSTIN
TX
787281702

Tel: 5122521505

ANN-MARIE BOURQUE-KOCH NP Information

Npi 1588734255
Pac Id 3870699259
Professional Enrollment Id I20070501000411
Last Name BOURQUE-KOCH
First Name ANN-MARIE
Middle Name
Suffix
Gender F
Credential NP
Medical School Name OTHER
Graduation Year 2006
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
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Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SHANE EDWARD KELLER MD PA
Group Practice Pac Id 2961426549
Number Of Group Practice Members 3
Line 1 Street Address 505 W LOUIS HENNA BLVD
Line 2 Street Address SUITE 100 PARKWAY PRIMARY CARE
Marker Of Address Line 2 Suppression
City AUSTIN
State TX
Zip Code 787281702
Phone Number 5122521505
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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