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General NPI Number Information
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NPI Number | 1588051213
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Entity Type | Individual
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Provider Name | MELANIE R BOURKE RN, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 3218 N BOOTH ST
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City | MILWAUKEE
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State | WI
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Zip | 53212-2136
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Country | US
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Telephone | 763-670-4887
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Fax |
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Provider Business Mailing Address
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Address Line | 3218 N BOOTH ST
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City | MILWAUKEE
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State | WI
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Zip | 53212-2136
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Country | US
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Telephone | 763-670-4887
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10003322
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5275
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 16286-33
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 61385949
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R 218003-8
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License Number State | MN
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95351724
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95027422
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License Number State | CA
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