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1841631975

NPI Code Detail

MEDICARE: DEBORAH NICOLE BORREGO RN, FNP-BC, ACNPC-AG

MEDICARE: DEBORAH NICOLE BORREGO RN, FNP-BC, ACNPC-AG

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	207P00000X	Emergency Medicine Physician	APN.099775-NP	CO
2	207Q00000X	Family Medicine Physician	APN.0990775-NP	CO
3	363LA2100X	Acute Care Nurse Practitioner	NP 0990775	CO
4	363LA2100X	Acute Care Nurse Practitioner	RXN.0100993-NP	CO
5	363LP2300X	Primary Care Nurse Practitioner	APN.0990775-NP	CO

General Provider Information

NPI Number	:	1841631975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH NICOLE BORREGO RN, FNP-BC, ACNPC-AG

Provider Business Mailing Address
First Line	:	58128 HIGHWAY 330
Second Line	:
City	:	COLLBRAN
State	:	CO
Zip	:	81624-9502
Country	:	US
Telephone Number	:	970-487-3565
Fax Number	:

Provider Business Practice Location Address
First Line	:	58128 HIGHWAY 330
Second Line	:
City	:	COLLBRAN
State	:	CO
Zip	:	81624-9502
Country	:	US
Telephone Number	:	970-487-3565
Fax Number	:

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

Provider Enumeration Date	:	07/17/2013
Last Update Date	:	08/08/2023

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Directions to “ DEBORAH NICOLE BORREGO RN, FNP-BC, ACNPC-AG” Practice Location

Language	Start Address	Practice Location

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