Individual
DENNY BORDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PARAMEDIC
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
130546
OR
146L00000X
Paramedic
37139
ID
146L00000X
Paramedic
MED-PARA-LIC-33359
MT
163WF0300X
Flight Registered Nurse
201140887RN
OR
163WF0300X
Flight Registered Nurse
Primary
N-47481
ID
163WF0300X
Flight Registered Nurse
NUR-RN-LIC-72952
MT
163WF0300X
Flight Registered Nurse
RN60455585
WA
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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