Borisuk, Michele Jacqueline

Borisuk, Michele Jacqueline is an sole proprietor health care provider with primary practice located at 300 Longwood Ave Farley 612, Boston MA 02115-5724. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Borisuk, Michele Jacqueline can be contacted via phone (617) 355-3515.

Contact Information

Primary practice address
300 Longwood Ave Farley 612 Boston MA 02115-5724
Phone: (617) 355-3515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 5003911 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X TP006200D Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN2269575 Massachusetts

Profile Details

NPI number 1386720175
LBN Legal business name Borisuk, Michele Jacqueline
Credentials RN, CPNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Jul 9th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386720175 NPPES
North Carolina MEDICAID NP1261

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