Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 551800 | CA |
N | 363LA2200X | Nurse Practitioner - Adult Health | 551800 | CA |
N | 363LC1500X | Nurse Practitioner - Community Health | 551800 | CA |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 551800 | CA |
N | 363LP2300X | Nurse Practitioner - Primary Care | 551800 | CA |
NPI | 1053499780 |
---|---|
Provider Name | Ms. Sherri Ann Borden |
First Address | San Francisco, CA 94103-2911 |
Second Address | San Francisco, CA 94103-2911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 27/11/2018 |