MARY BOURANG FNP
NPI 1316622251
Nurse Practitioner - Family in Redlands, CA

Q: What is Mary Bourang's NPI number?

The NPI number for Mary Bourang is 1316622251. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Q: What is Mary Bourang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bourang was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 19, 2023

1473 FORD ST STE 104, REDLANDS, CA 92373(909) 307-1250 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Bourang Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BOURANG FNP (NPI 1316622251) is an individual family provider in Redlands, California, licensed in California (2023033598) and active in the NPI registry since June 2023. She maintains a secondary practice location in San Bernardino.

NPPES Registry Identity

NPI1316622251

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY BOURANGCredential: FNP

Location Address1473 FORD ST STE 104Redlands, CA 92373-3915

Mailing Address2108 Collett Ave Unit 406Corona, CA 92879-8655 · (209) 262-8022

Phone(909) 307-1250

Sole ProprietorNo

Enumeration DateJune 19, 2023

Last NPPES UpdateJanuary 27, 2025

NPPES CertifiedJanuary 27, 2025

✔ NPI 1316622251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 2023033598

1473 FORD ST STE 104, Redlands, CA 92373

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Secondary Practice Location 1

Location 1225 W Hospitality Ln Ste 103San Bernardino, CA 92408-3244 · Phone (909) 886-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Bourang's NPI number?

The NPI number for Mary Bourang is 1316622251. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is Mary Bourang located?

Mary Bourang practices at 1473 Ford St Ste 104, Redlands, CA 92373. The listed phone number is (909) 307-1250.

What is Mary Bourang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Bourang was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.