BORRON FAMILY MEDICINE PLLC NPI 1033424429

NPI Information

BORRON FAMILY MEDICINE PLLC is a family nurse practitioner in Meridian, ID. BORRON FAMILY MEDICINE PLLC NPI is 1033424429. The provider is registered as an organization entity type.

The provider's business location address is:

790 W USTICK RD
STE 110
MERIDIAN, ID
ZIP 83646-558
Phone: (208) 639-3990
Fax: (208) 639-3992

The provider's authorized official is Brookney Raeanne Borron .
The authorized official title is Owner and has the following contact phone number (208) 866-1428.

The CLIA number assigned to this NPI record is 13D2013562 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2010 and was last updated on 2/28/2013.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.