Individual provider · Type 1 NPI

Michele Jacqueline Borisuk, RN, CPNP

Pediatric Nurse Practitioner · Boston, MA

NPI number 1386720175 Active

Practice location

300 Longwood Ave, Farley 612
Boston, MA 02115-5724

Call (617) 355-3515 Map

Mailing address

300 Longwood Avenue, Farley 612
Boston, MA 02115

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner 363LP0222X5003911 (NC)
Nurse Practitioner 363L00000XTP006200D (PA)
Pediatric Nurse Practitioner Primary 363LP0200XRN2269575 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1386720175

Michele Jacqueline Borisuk, RN, CPNP's National Provider Identifier is 1386720175, issued on Oct 27, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Jul 9, 2013.