Joanna Bourque, RN
Individual provider Active NPI Registered Nurse · Stamford, CT
NPI 1962322040 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1962322040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 86143 (CT)
- Practice address
- 1281 E Main St Ste 3
Stamford, CT 06902-3553 - Phone
- (203) 321-0777
- NPI assigned
- Jul 17, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 86143 | CT | Yes |
Addresses
Primary practice location
1281 E Main St Ste 3
Stamford, CT 06902-3553
Mailing address
49 Crestview Ave
Stamford, CT 06907-1908
Phone (203) 321-0777
Other providers in Stamford, CT
- Lindsay Bosquet
- Nichola Bott
- Megan Bouchard
- Margaret Elizabeth Boucher
- Alexandria Boujid
- Justin Bourque
- Jason Christopher Bouton
- Rebecca Price Boutsikoudis
- David Lee Bowbeer
- Hilary Bowden
All providers in Stamford, CT · Registered Nurse in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.