Individual
MRS. LINDA DARNELL BORUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704286251
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
0024158608
VA
363LP0200X
Pediatric Nurse Practitioner
CRNP SP009277
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36007A
EPSDT PROVIDER NO.
PA
Enumeration date
12/13/2006
Last updated
03/10/2016
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