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Individual

MRS. EMILY BORGUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP

Contact information

Practice address
1085 LIBERTY WAY, SUITE 119, NORTH LIBERTY, IA 52317
(123) 123-1234
Mailing address
240 EAST JEFFERSON ST, NORTH LIBERTY, IA 52317-9092

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H182740
IA
363LA2200X
Adult Health Nurse Practitioner
311450
NY

Other

Enumeration date
08/07/2023
Last updated
04/25/2025
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