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General NPI Number Information
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NPI Number | 1386922409
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Entity Type | Individual
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Provider Name | ELIZABETH A BORST PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/22/2011
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Last Update Date | 09/07/2025
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Provider Practice Location Address
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Address Line | 13900 W NATIONAL AVE
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City | NEW BERLIN
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State | WI
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Zip | 53151-9515
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Country | US
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Telephone | 262-928-4036
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Fax |
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Provider Business Mailing Address
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Address Line | 13900 W NATIONAL AVE
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City | NEW BERLIN
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State | WI
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Zip | 53151-9515
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Country | US
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Telephone | 262-928-4036
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 175457-30
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 10095
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10095-33
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License Number State | WI
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