MISS MICHELE JACQUELINE BORISUK RN CPNP NPI 1386720175

NPI Information

NPI: 1386720175
Provider Name: MISS MICHELE JACQUELINE BORISUK, RN, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
300 LONGWOOD AVE
FARLEY 612
BOSTON, MA
ZIP 02115
Phone: (617) 355-3515
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MISS Michele Jacqueline Borisuk, RN, CPNP is a pediatrics nurse practitioner in Boston, MA. MISS Michele Jacqueline Borisuk, RN, CPNP NPI is 1386720175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 LONGWOOD AVE
FARLEY 612
BOSTON, MA
ZIP 02115-724
Phone: (617) 355-3515

The enumeration date for this NPI number is 10/27/2006 and was last updated on 7/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	5003911	NORTH CAROLINA	No
2	363L00000X	Nurse Practitioner		TP006200D	PENNSYLVANIA	No
3	363LP0200X	Nurse Practitioner	Pediatrics	RN2269575	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP1261	MEDICAID	NORTH CAROLINA
2	2593303	MEDICARE PIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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