Borgersen, Wendy Lynn

Borgersen, Wendy Lynn is an individual health care provider with primary practice located at 3654 W Anthem Way Suite B-114, Anthem AZ 85086-0455. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Borgersen, Wendy Lynn can be contacted via phone (623) 551-0442.

Contact Information

Primary practice address
3654 W Anthem Way Suite B-114 Anthem AZ 85086-0455
Phone: (623) 551-0442
Fax: (623) 551-0830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP5163 Arizona

Profile Details

NPI number 1891120762
LBN Legal business name Borgersen, Wendy Lynn
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2013
Last updated Sep 10th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891120762 NPPES
Arizona MEDICAID 532459
Arizona Other 1609879964
Arizona Other 1760594543
Arizona MEDICAID 577794

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