Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | ARNP2772732 | FL |
Y | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | ARNP2772732 | FL |
NPI | 1174593107 |
---|---|
Provider Name | Ms. Elizabeth Myra Borger |
First Address | Tallahassee, FL 32301-4579 |
Second Address | Tallahassee, FL 32301-4579 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 18/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
034995000 | (05) | FL |