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Individual

MRS. PATRICIA DALY BORG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
501 E NICOLLET BLVD, STE. 120, BURNSVILLE, MN 55337-6732
(952) 460-4130
Mailing address
7412 SHANNON CIR, EDINA, MN 55439-2627

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 196114-8
MN
363L00000X
Nurse Practitioner
Primary
AG0314008
MN
363LA2200X
Adult Health Nurse Practitioner
AG0314008
MN
363LG0600X
Gerontology Nurse Practitioner
AG0314008
MN
363LP2300X
Primary Care Nurse Practitioner
AG0314008
MN

Other

Enumeration date
01/18/2014
Last updated
03/17/2014
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