MEDICARE: MRS. KATHERINE FRANCES BORUFF HARVEY MSN, RN, AGPCNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0200X	Critical Care Medicine Registered Nurse	343264	NC

General Provider Information

NPI Number	:	1467250993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE FRANCES BORUFF HARVEY MSN, RN, AGPCNP-BC

Provider Business Mailing Address
First Line	:	3738 HAVENWOOD RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-4727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3738 HAVENWOOD RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-4727
Country	:	US
Telephone Number	:	703-927-9064
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	03/03/2025

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