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Individual

MELISSA J BORGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CRNA

Contact information

Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R22112
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12684
ND
01
2000777
MEDICA INNOVIS #
ND
01
3786
NDBS #
ND
01
3T746KR
MNBS FGO #
ND
05
482216100
ND
01
967141
ARAZ #
ND
01
DA9011015510
PREF 1 #
ND
01
HP38619
HEALTHPARTNERS #
ND
Enumeration date
06/07/2006
Last updated
09/26/2024
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