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Individual
MISS MICHELE JACQUELINE BORISUK
Active
Individual
MISS MICHELE JACQUELINE BORISUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
TP006200D
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2269575
MA
363LP0222X
Critical Care Pediatric Nurse Practitioner
5003911
NC
Other
Enumeration date
10/27/2006
Last updated
07/09/2013
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