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NPI Code Detail

MEDICARE: DANETTE MAREE BORREGO FNP-C

MEDICARE:   DANETTE MAREE BORREGO  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1073840TX

General Provider Information

NPI Number : 1043925936
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANETTE MAREE BORREGO FNP-C
Provider Business Mailing Address
First Line : 4302 NICKLAUS LN
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78413-2029
Country : US
Telephone Number : 361-728-7402
Fax Number :
Provider Business Practice Location Address
First Line : 6330 SARATOGA BLVD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-3481
Country : US
Telephone Number : 361-415-2441
Fax Number : 361-415-2407
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2023
Last Update Date : 01/16/2023

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Directions to “ DANETTE MAREE BORREGO FNP-C” Practice Location

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