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NPI Code Detail

MEDICARE: DANIELLE BORG APRN

MEDICARE:   DANIELLE  BORG  APRN
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
1363L00000XNurse Practitioner98146164450UT
2363L00000XNurse Practitioner9814616-4405UT

General Provider Information

NPI Number : 1154078517
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE BORG APRN
Provider Business Mailing Address
First Line : 2400 E CATALINA DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-3911
Country : US
Telephone Number : 801-842-9593
Fax Number :
Provider Business Practice Location Address
First Line : 2400 E CATALINA DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-3911
Country : US
Telephone Number : 801-842-9593
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2022
Last Update Date : 05/15/2023

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Directions to “ DANIELLE BORG APRN” Practice Location

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