Individual
MRS. THERESA RAE BORCHERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1753 W RIDGEWAY AVE STE 104, WATERLOO, IA 50701-4588
(319) 833-6100
(319) 833-6102
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 233-1630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A098415
IA
363LF0000X
Family Nurse Practitioner
A098415
IA
Other
Enumeration date
02/16/2016
Last updated
02/04/2022
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