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Active NPI 1750341053 Individual Practitioner Female Practitioner

Gloria G Bourque , ANP

Nurse Practitioner • Fairbanks, AK

Professional Overview & Biography Verified Profile Summary

Gloria Bourque, ANP is a registered healthcare professional specializing in Nurse Practitioner in Fairbanks, AK. Practice services are available at 1919 LATHROP ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1919 Lathrop St
Ste 220

Fairbanks, AK 99701

Telephone 9074521739
Fax 9074522384
Associated Practice Facility / Clinic
🏢 Prescription Center Llc Facility NPI 1801852769

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fairbanks, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.9 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Fairbanks, AK (159 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AK 545

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
NP0545 (AK)
Medicaid State Provider ID
GR0221 (AK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Ronald Martino , MD

Psychiatry & Neurology - Neurology

NPI 1194793414

Doctor of Medicine (M.D.)

Moreen Fried , LCSW

Social Worker - Clinical

NPI 1386612604

Licensed Clinical Social Worker

Dr. James Foelsch , MD

Psychiatry & Neurology - Neurology

NPI 1447219589

Doctor of Medicine (M.D.)

Kristen Barton , LPC

Counselor - Professional

NPI 1598725095

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1919 LATHROP ST, STE 220, FAIRBANKS, AK 99701 (Tel: 9074521739)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 73410, FAIRBANKS, AK 997073410 (Tel: 8004784091)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GLORIA BOURQUE, ANP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #545 in AK)

🟢
Initial NPI Registration & Enumeration March 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750341053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

Po Box 73410

Fairbanks, AK 997073410

Phone: 8004784091

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.