MEDICARE: CHRIS BORON RN

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	163W00000X	Registered Nurse	821252	NV

General Provider Information

NPI Number	:	1477357796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRIS BORON RN

Provider Business Mailing Address
First Line	:	6462 N LOSEE RD STE 135
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89086-0104
Country	:	US
Telephone Number	:	702-625-4809
Fax Number	:	702-462-5218

Provider Business Practice Location Address
First Line	:	6462 N LOSEE RD STE 135
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89086-0104
Country	:	US
Telephone Number	:	702-625-4809
Fax Number	:	702-462-5218

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

Provider Enumeration Date	:	04/03/2025
Last Update Date	:	04/03/2025

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Directions to “ CHRIS BORON RN” Practice Location

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