Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CARRIE ANN BLACK BOURASSA, RRT
ActiveMS. CARRIE ANN BLACK BOURASSA, RRT is a 2279P1005X healthcare provider located in SAINT PAUL, Minnesota. NPI 1215148929 is currently active in the NPPES registry. Verify at CMS.
2279P1005X · SAINT PAUL, MN
Registration Details
- NPI Number
- 1215148929
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2007 (19.186200431106 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2276 (MN)
Practice Information
- Address
-
225 SMITH AVE N STE 301SAINT PAUL, MN, 551022534Browse MN providers · Browse ZIP 55102
- Phone
- 6512885180
- Fax
- 6512885188
- Primary Specialty
-
2279P1005X
2279P1005X
Other 2279P1005X Providers in SAINT PAUL, MN
| Name | Credential | NPI |
|---|---|---|
| JENNIFER JOHNSON-SCHMIDT | RRT | 1043347883 |
| MR. CURTIS R MERRIMAN | RRT, RCP | 1952512675 |
| MRS. ROSE E VIERLING | RCP, CRTT | 1154521953 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.