Individual
MRS. NOREEN ELLEN BORINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1490 E FOREMASTER DR STE 360, ST GEORGE, UT 84790-4508
(435) 359-3115
(435) 291-1096
Mailing address
1490 E FOREMASTER DR STE 360, ST GEORGE, UT 84790-4508
(435) 359-3115
(435) 291-1096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APRN00223
NV
363LF0000X
Family Nurse Practitioner
Primary
11644569-4405
UT
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APN223
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396909826
—
NV
01
—
APRN00223
STATE LICENSE
NV
01
—
APRN00223
OTHER
—
Enumeration date
07/14/2008
Last updated
02/03/2022
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