Doctor Name: | MARLENE K BORKHOLDER |
NPI Number: | 1710314778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 28154745A |
Business Practice Address: | 1450 E Woodview Dr Nappanee, IN - 465509305 |
Business Phone Number: | 5743540284 |
Business Fax Number: | |
Mailing Address: | 1450 E Woodview Dr, NAPPANEE |
State: | IN |
Postal Code: | 465509305 |
Phone Number: | 5743540284 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2013 |
NPI Last Update Date: | 10/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 28154745A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |