Individual
DEBORAH ANN BORDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-8064
Mailing address
122 HEDGE BLOOM, IRVINE, CA 92618-1517
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95006842
CA
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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