Healthcare Provider Details

I. General information

NPI: 1467250993
Provider Name (Legal Business Name): KATHERINE FRANCES BORUFF HARVEY MSN, RN, AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS KATHERINE FRANCES BORUFF

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 03/03/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3738 HAVENWOOD RD
CHARLOTTE NC
28205-4727
US

IV. Provider business mailing address

3738 HAVENWOOD RD
CHARLOTTE NC
28205-4727
US

V. Phone/Fax

Practice location:
  • Phone: 703-927-9064
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number343264
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: