| Borron Family Medicine Pllc | |
|
790 W Ustick Rd Ste 110 Meridian ID 83646-5558 | |
| (208) 639-3990 | |
| (208) 639-3992 |
| Full Name | Borron Family Medicine Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 790 W Ustick Rd, Meridian, Idaho |
| Authorized Official Name and Position | Brookney Raeanne Borron (OWNER) |
| Authorized Official Contact | 2088661428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Borron Family Medicine Pllc 790 W Ustick Rd Suite 110 Meridian ID 83646-5558 Ph: (208) 639-3990 | Borron Family Medicine Pllc 790 W Ustick Rd Ste 110 Meridian ID 83646-5558 Ph: (208) 639-3990 |
| NPI Number | 1033424429 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 02/28/2013 |
| Medicare PECOS PAC ID | 4284889015 |
|---|---|
| Medicare Enrollment ID | O20130228000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033424429 | NPI | - | NPPES |
| 1033424429 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NP-923A (Idaho) | Primary |
| Provider Name | Brookney R Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053543660 PECOS PAC ID: 1456407949 Enrollment ID: I20090924000688 |
| Provider Name | Christie Beattie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164734240 PECOS PAC ID: 0749426765 Enrollment ID: I20130418000133 |
| Provider Name | Whitney L Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144728718 PECOS PAC ID: 9830451012 Enrollment ID: I20210125003025 |
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