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NPI Code Detail

MEDICARE: MS. LAURIE BORTHWICK FNP

MEDICARE:  MS. LAURIE  BORTHWICK  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
1363LF0000XFamily Nurse Practitioner98525CO

General Provider Information

NPI Number : 1730115452
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURIE BORTHWICK FNP
Provider Business Mailing Address
First Line : 212 LINDA LN
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-2554
Country : US
Telephone Number : 970-266-1683
Fax Number : 970-491-0226
Provider Business Practice Location Address
First Line : 600 SOUTH DRIVE
Second Line : COLORADO STATE UNIVERSITY HEALTH CENTER
City : FORT COLLINS
State : CO
Zip : 80523-0001
Country : US
Telephone Number : 970-491-1754
Fax Number : 970-491-0226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 07/08/2007

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Directions to “ MS. LAURIE BORTHWICK FNP” Practice Location

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