Basic Information
Provider Information
NPI: 1326371436
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BOROWSKE
FirstName: DEB ORAH
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: CNS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 30680 BAINBRIDGE RD
Address2:  
City: SOLON
State: OH
PostalCode: 441392282
CountryCode: US
TelephoneNumber: 4405425023
FaxNumber:  
Practice Location
Address1: 18697 BAGLEY RD
Address2:  
City: MIDDLEBURG HEIGHTS
State: OH
PostalCode: 441303417
CountryCode: US
TelephoneNumber: 4408168000
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/09/2009
LastUpdateDate: 09/09/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364S00000XCOA04352NSOHY Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist 

No ID Information.


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