Dolores I Van Bourgondien is a Grand Forks, North Dakota based nurse practitioner with 12 years of experience in Psych/Mental Health. She completed her graduation in 2013. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dolores I Van Bourgondien is R54243 for Psych/Mental Health in North Dakota. Her current practice location is 4700 S Washington St Ste G, Grand Forks. Patients can reach her at 701-205-3000 or can fax her at 701-732-2501. Dolores I Van Bourgondien is ANP-BC with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1457788390. Dolores I Van Bourgondien provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Dolores I Van Bourgondien speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dolores I Van Bourgondien
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Female
Credentials:
ANP-BC
Experience:
12+ years
Medical School Attended:
Other
Graduation Year:
2013
Accepts Medicare Assignment:
Yes
Practice Address:
4700 S Washington St Ste G, Grand Forks, North Dakota, 58201-8155
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9032332275
Enrollment ID:
I20190610000219
NPI Number:
1457788390
NPI Enumeration Date:
10 Oct, 2013
NPI Last Update On:
18 Jul, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dolores I Van Bourgondien are as mentioned below.
License Number
Specialization
State
Status
R54243
Psych/Mental Health
North Dakota
Primary
ARNP9239798
Adult Health
Florida
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Dolores I Van Bourgondien is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ideal Option Pllc (6709013105)
107
Ideal Telemedicine Services Llc (2860726221)
93
Ideal Option Pllc (6709013105)
107
Ideal Telemedicine Services Llc (2860726221)
93
Ideal Option Pllc (6709013105)
107
Ideal Telemedicine Services Llc (2860726221)
93
Other Medical Identifiers:
Other legacy medical identifiers associated with Dolores I Van Bourgondien such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
010140700
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dolores I Van Bourgondien Po Box 5210, Grand Forks, North Dakota
Zip:
58206-5210
Patients can reach Dolores I Van Bourgondien at 4700 S Washington St Ste G, Grand Forks, North Dakota or can call to book an appointment on 701-205-3000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.