Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS KRISTEN BOURQUE, RD, LD, CLC
ActiveMISS KRISTEN BOURQUE, RD, LD, CLC is a Registered Dietitian healthcare provider located in INDIANAPOLIS, Indiana. NPI 1881083699 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1881083699
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2015 (11.608811225202 yrs)
- Last Updated
- Dec 15, 2021
- Licenses
-
32149DI-0 (NV)164.007743 (IL)
Practice Information
- Address
-
9115 HAGUE RDINDIANAPOLIS, IN, 462561025Browse IN providers · Browse ZIP 46256
- Phone
- 3175212000
- Primary Specialty
-
Registered Dietitian
133V00000X
- Additional Specialty
- Registered Dietitian
Other Registered Dietitian Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| MISS DENISE A. BARC | RD | 1669409991 |
| MR. CHRISTOS DEMETRIOS SARELLAS | RD | 1497784516 |
| MRS. JOYCE HALL WHITING | MS RD | 1558391029 |
| MRS. CYNTHIA ANN HARMON | R.D. | 1700816006 |
| AMY D KOTANSKY | MS, RD, CDCES, LD | 1962413682 |
| AMY L CARTER | RD, CD | 1568474187 |
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.