Borla, Bernadette Jean

Borla, Bernadette Jean is an individual health care provider with primary practice located at 27355 John R Rd , Madison Heights MI 48071-3327. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Borla, Bernadette Jean can be contacted via phone (859) 420-0822.

Contact Information

Primary practice address
27355 John R Rd Madison Heights MI 48071-3327
Phone: (859) 420-0822
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704252212 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704252212 Michigan

Profile Details

NPI number 1043469588
LBN Legal business name Borla, Bernadette Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2008
Last updated Mar 29th, 2010 - about 14 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 1043469588 NPPES
Michigan Other 4704252212 ST LICS

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