BORRON FAMILY MEDICINE PLLC; NPI #1033424429

Contact Information

BORRON FAMILY MEDICINE PLLC

790 W USTICK RD
STE 110
MERIDIAN, ID 83646-5558

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

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NPI Profile & details for BORRON FAMILY MEDICINE PLLC

NPI Number 1033424429

LBN Legal business name BORRON FAMILY MEDICINE PLLC

Authorized official BROOKNEY BORRON - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/10/2010

Last updated 02/28/2013 - About 13 years ago

Identifiers

ID	License #	NP-923A
ID	Medicaid	1033424429

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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