Individual provider · Type 1 NPI
Blake Borders
Family Nurse Practitioner · Benton, MO
NPI number
1366950693
Active
Practice location
222 Bland St
Benton, MO 63736-9206
Fax (573) 427-6027
Mailing address
PO Box 801143
Kansas City, MO 64180-1143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2017026029 (MO) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Benton
About NPI 1366950693
Blake Borders's National Provider Identifier is 1366950693, issued on Jan 22, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Benton, MO. The record was last updated on Dec 7, 2021.