Individual provider · Type 1 NPI

Ellen Marie Boersma, NP

Nurse Practitioner · Lakeport, CA

NPI number 1265684633 Active

Practice location

5150 Hill Rd E, #F
Lakeport, CA 95453-5101

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X18609 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265684633

Ellen Marie Boersma, NP's National Provider Identifier is 1265684633, issued on Oct 16, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lakeport, CA. The record was last updated on Oct 16, 2008.