Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 02-113 | CO |
NPI | 1033314265 |
---|---|
Provider Name | Ms. Christy Sue Borud |
First Address | Golden, CO 80401-4897 |
Second Address | Lakewood, CO 80228-1833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 08/07/2007 |