Individual
MARIAN BORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4401 IROQUOIS AVE, ERIE, PA 16511-2219
(814) 454-4530
(814) 456-2375
Mailing address
1202 STATE ST, ERIE, PA 16501-1914
(814) 454-4530
(814) 456-2375
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011131
PA
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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