Individual
MISTI LEE BORGESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, CNM
Contact information
Practice address
3423 MAYBANK HWY, JOHNS ISLAND, SC 29455-4821
(843) 737-5206
(843) 795-7171
Mailing address
3423 MAYBANK HWY, JOHNS ISLAND, SC 29455-4821
(843) 737-5206
(843) 795-7171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27660
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215222898
—
IA
Enumeration date
06/13/2011
Last updated
05/06/2025
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