JULIE DORSEY BOERSEN (NPI# 1790877611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790877611 |
Entity Type | Individual |
Full Name | JULIE DORSEY BOERSEN |
Credential | RN FNP-BC |
Practice Address |
1243 Pennsylvania Ave Pine City NY 14871-9230 |
Mailing Address |
1 Guthrie Sq Sayre PA 18840-1625 |
Practice Telephone | 6077346281 |
Practice Fax Number | 6077344409 |
Mailing Telephone | 5708885858 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2013-08-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NYF332105 1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02277452 | 05 |
Street Address |
1243 PENNSYLVANIA AVE |
City | PINE CITY |
State | NY |
Zip Code | 14871-9230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285605766 | William Ridge Mcclintic | Family Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-01-31 |
1104152792 | Guthrie Clinic Ltd | Clinic/Center | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2009-11-02 |
1710118781 | Andrea E Herman | Physician Assistant | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2009-08-07 |
1790977890 | Guthrie Medical Group, P.C. | Durable Medical Equipment & Medical Supplies | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2007-08-13 |
1841337672 | Gangadhara R Kabbli | Internal Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871 | 2007-01-31 |
1508947540 | Christopher Daniel Fucito | Family Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-10-18 |
1376645838 | Najeeb Ur Rehman | Internal Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-09-03 |
1205938263 | Vincent S Ladelia | Internal Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-09-01 |
1720055528 | Thomas R. Gustafson | Family Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-03-01 |
1588630305 | Leslie Scott Rachlin | Family Medicine | 1243 Pennsylvania Ave, Pine City, NY 14871-9230 | 2006-02-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548538309 | Joan M Gensel | Student in an Organized Health Care Education/Training Program | 1551 Pennsylvania Ave, Pine City, NY 14871-9110 | 2011-12-08 |
1497804462 | Doris Farmer-raymond | Occupational Therapist | 976 Sebring Ave, Pine City, NY 14871-9247 | 2007-01-09 |
1780912634 | Sara L Frunzi | Social Worker | 11740 Fish Pond Rd, Pine City, NY 14871-9412 | 2009-12-03 |
1437413408 | Jessica Stalica | Specialist | 1297 Hittown Rd, Pine City, NY 14871-9425 | 2012-06-25 |
1639450067 | Brenda Prins | Registered Nurse | 1548 Mount Zoar Rd, Pine City, NY 14871-9545 | 2011-08-30 |
1376565697 | Judy J. Schaeffler | Specialist | 1554 Mount Zoar Rd, Pine City, NY 14871-9545 | 2006-07-24 |
1861851776 | Kym Beckman-draht | Registered Nurse | 1250 Mount Zoar Rd, Pine City, NY 14871-9549 | 2016-02-19 |
1285181362 | Corin M Smith | Licensed Practical Nurse | 83 Holden Rd, Pine City, NY 14871-9564 | 2016-09-06 |
1528572906 | Nicole Strong | Registered Nurse | 601 Kinner Hill Rd, Pine City, NY 14871-9569 | 2017-11-21 |
1154758464 | Dorothydana Waring | Counselor | 492 Dry Run Rd, Pine City, NY 14871-9663 | 2013-10-01 |
Find all providers in zip 14871 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669837340 | Kathryn Marvin | Nurse Practitioner | 100 Evergreen Sq Sw, Pine City, MN 55063-2000 | 2015-12-22 |
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1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.