| Doctor Name: | RALPH JOSEPH REAL BORROMEO |
| NPI Number: | 1013329515 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN |
| License Number: | APRN001737 |
| Business Practice Address: | 270 W Lake Mead Pkwy Henderson, NV - 890157093 |
| Business Phone Number: | 7026773720 |
| Business Fax Number: | 7026773733 |
| Mailing Address: | Po Box 15645, LAS VEGAS |
| State: | NV |
| Postal Code: | 891145645 |
| Phone Number: | 7026773720 |
| Fax Number: | 7026773733 |
| NPI Enumeration Date: | 06/02/2014 |
| NPI Last Update Date: | 04/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APRN001737 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |