MICHELLE BOURNE
NPI 1770853392
Licensed Practical Nurse in Herkimer, NY

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since January 12, 2012

703 MIDDLEVILLE RD, HERKIMER, NY 13350(315) 866-7932(315) 866-1914 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Michelle Bourne NPPES

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

MICHELLE BOURNE (NPI 1770853392) is an individual licensed practical nurse in Herkimer, New York, licensed in New York (306426-1) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1770853392

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMICHELLE BOURNE

Location Address703 MIDDLEVILLE RDHerkimer, NY 13350-0107

Mailing Address703 Middleville Rd, Po Box 107Herkimer, NY 13350-0107 · (315) 866-7932 · Fax (315) 866-1914

Phone(315) 866-7932

Fax(315) 866-1914

Sole ProprietorYes

Enumeration DateJanuary 12, 2012

✔ NPI 1770853392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 306426-1

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

703 MIDDLEVILLE RD, Herkimer, NY 13350

Open in Google Maps ↗