Healthcare Provider Details

I. General information

NPI: 1225451834
Provider Name (Legal Business Name): BORTON NURSING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2014
Last Update Date: 02/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 HASTINGS F
WEST PALM BEACH FL
33417-1214
US

IV. Provider business mailing address

89 HASTINGS F
WEST PALM BEACH FL
33417-1214
US

V. Phone/Fax

Practice location:
  • Phone: 561-319-3111
  • Fax:
Mailing address:
  • Phone: 561-319-3111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9251496
License Number StateFL

VIII. Authorized Official

Name: BRENDA BORTON
Title or Position: OWNER
Credential: ARNP
Phone: 561-319-3111