Borgo, Talia Marie

Borgo, Talia Marie is an individual health care provider with primary practice located at 2450 Ashby Ave Rm 3040 , Berkeley CA 94705-2067. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Borgo, Talia Marie can be contacted via phone (510) 204-3977.

Contact Information

Primary practice address
2450 Ashby Ave Rm 3040 Berkeley CA 94705-2067
Phone: (510) 204-3977
Fax: (510) 204-5429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM235908 California

Profile Details

NPI number 1831605781
LBN Legal business name Borgo, Talia Marie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2017
Last updated Apr 15th, 2022 - about 3 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 1831605781 NPPES
California Other 235908 STATE MEDICAL LICENSE

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