Individual
ANDREA ROSE BORDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
53800 GENERATIONS DR, SOUTH BEND, IN 46635-1543
(574) 273-3880
(574) 271-0918
Mailing address
53800 GENERATIONS DR, SOUTH BEND, IN 46635-1543
(574) 273-3880
(574) 271-0918
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28161579A
IN
Other
Enumeration date
09/09/2014
Last updated
09/23/2016
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