Search › Mississippi › 163W00000X
Larry Bourrage, RN
NPI 1528829512 · on the registry since 2024
Practice
- Address
- 12485 Schamberville Ln
Collinsville, MS 39325 - Phone
- (601) 480-4754
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi