Individual
MS. BONITA THIBAULT BORGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-354024
IL
163W00000X
Registered Nurse
Primary
855718
TX
163W00000X
Registered Nurse
89081
CT
363LF0000X
Family Nurse Practitioner
004225
CT
363LF0000X
Family Nurse Practitioner
209008456
IL
363LF0000X
Family Nurse Practitioner
AP126248
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
Enumeration date
09/30/2009
Last updated
08/11/2025
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