Individual
GABRIEL ADAM BORISUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
445 CLIFTY DR, MADISON, IN 47250-1607
(812) 273-5372
(812) 273-5741
Mailing address
3245 N SR 7, MADISON, IN 47250-7958
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71009118A
IN
363LF0000X
Family Nurse Practitioner
71009118A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28208891A
INDIANA STATE BOARD OF NURSING
IN
05
—
300029680
—
IN
05
—
7100607100
—
KY
Enumeration date
05/06/2019
Last updated
11/06/2025
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