MEDICARE: MS. DEBORAH ANN BOERSCHIG CNP

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
1	363LW0102X	Women's Health Nurse Practitioner	00963	OH

General Provider Information

NPI Number	:	1205098381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH ANN BOERSCHIG CNP

Provider Business Mailing Address
First Line	:	200 ALBERT SABIN WAY RM 4012
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45267-0001
Country	:	US
Telephone Number	:	513-584-5361
Fax Number	:	513-584-0337

Provider Business Practice Location Address
First Line	:	200 ALBERT SABIN WAY RM 4012
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45267-0001
Country	:	US
Telephone Number	:	513-584-5361
Fax Number	:	513-584-0337

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2008
Last Update Date	:	06/30/2008

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