Boorsma, Danae
Boorsma, Danae is an individual health care provider with primary practice located at 18433 Roscoe Blvd Ste 206, Northridge CA 91325-4108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boorsma, Danae can be contacted via phone (818) 280-4268.Contact Information
Primary practice address
18433 Roscoe Blvd Ste 206
Northridge CA 91325-4108
Phone: (818) 280-4268
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95001127 | California |
Profile Details
| NPI number | 1649679473 |
|---|---|
| LBN Legal business name | Boorsma, Danae |
| Credentials | R.N., P.H.N., N.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2014 |
| Last updated | Aug 18th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649679473 | NPPES |
| California | Other | 95001127 | NURSE PRACTITIONER LICENSE |
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