Individual
CAROL J BORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
350 14TH AVE, SKAGWAY, AK 99840-0537
(907) 983-2255
(907) 983-2793
Mailing address
PO BOX 537, SKAGWAY, AK 99840-0537
(907) 983-2255
(907) 983-2793
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R024086
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004772
WELLMARK
SD
01
—
0004792
WELLMARK
SD
01
—
3475
DAKOTACARE
SD
05
—
6825703
—
SD
05
—
6825704
—
SD
01
—
9239542
DAKOTACARE
SD
05
—
NP0019
—
AK
01
—
P00352245
RR MEDICARE
SD
Enumeration date
05/19/2006
Last updated
08/04/2011
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