Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2013-01185 | NC |
N | 208000000X | Pediatrician | MT197730 | PA |
N | 2080P0207X | Pediatric Hematology-Oncologist | MD0000055823 | TN |
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD475474 | PA |
NPI | 1245542380 |
---|---|
Provider Name | Alexandra Borst |
First Address | Nashville, TN 37232-0005 |
Second Address | Nashville, TN 37232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2010 |
Last Update Date | 23/09/2021 |