Healthcare Provider Details
I. General information
NPI: 1215722400
Provider Name (Legal Business Name): BORO HOLISTIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1602 W NORTHFIELD BLVD STE 509
MURFREESBORO TN
37129-6056
US
IV. Provider business mailing address
1602 W NORTHFIELD BLVD STE 509
MURFREESBORO TN
37129-6056
US
V. Phone/Fax
- Phone: 615-624-4489
- Fax:
- Phone: 615-624-4489
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
SUZANNA
UNDERWOOD
Title or Position: OWNER
Credential: BCND,MH,CNHP
Phone: 615-624-4489