MEDICARE: MRS. KATHERINE BORGES FNP

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	363LF0000X	Family Nurse Practitioner	144531	MT
2	363LF0000X	Family Nurse Practitioner	21145	CA
3	363LF0000X	Family Nurse Practitioner	NUR-APRN-LIC-144531	MT

General Provider Information

NPI Number	:	1275030801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE BORGES FNP

Provider Business Mailing Address
First Line	:	PO BOX 1082
Second Line	:
City	:	BIGFORK
State	:	MT
Zip	:	59911-1082
Country	:	US
Telephone Number	:	406-426-2800
Fax Number	:	406-578-3391

Provider Business Practice Location Address
First Line	:	2593 US HIGHWAY 2 E STE 1
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-9507
Country	:	US
Telephone Number	:	406-426-2800
Fax Number	:	406-578-3391

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

Provider Enumeration Date	:	04/10/2018
Last Update Date	:	09/13/2023

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