Healthcare Provider Details

I. General information

NPI: 1659087948
Provider Name (Legal Business Name): WILLIAM HENRY BORROWS RN, BSN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 01/30/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 WALING DR
WAYNE NJ
07470-4504
US

IV. Provider business mailing address

6 WALING DR
WAYNE NJ
07470-4504
US

V. Phone/Fax

Practice location:
  • Phone: 551-486-3474
  • Fax:
Mailing address:
  • Phone: 551-486-3474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number26NR12294500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: