Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | AP9893 | AZ |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | NP95003778 | CA |
NPI | 1164881108 |
---|---|
Provider Name | Ana Lisa Borkowski |
First Address | Phoenix, AZ 85018-2327 |
Second Address | Phoenix, AZ 85016-7710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2016 |
Last Update Date | 10/12/2020 |