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Contact Information

BORRON FAMILY MEDICINE PLLC
790 W USTICK RD
STE 110
MERIDIAN, ID83646-5558
 Phone: 208-639-3990
 Fax: 208-639-3992
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for BORRON FAMILY MEDICINE PLLC · (Female)

NPI # 1033424429
Status Active
Credentials
Entity Individual
Enumeration date 08/10/2010
Last updated 02/28/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID License # NP-923A
  • ID Medicaid 1033424429
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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