Healthcare Provider Details

I. General information

NPI: 1710690730
Provider Name (Legal Business Name): CLAUDIA BORGES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2023
Last Update Date: 03/20/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 PLEASANT ST STE 303
FALL RIVER MA
02721-3005
US

IV. Provider business mailing address

277 PLEASANT ST STE 303
FALL RIVER MA
02721-3005
US

V. Phone/Fax

Practice location:
  • Phone: 508-673-3521
  • Fax:
Mailing address:
  • Phone: 508-673-3521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF11220292
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: