ERIK TYLER BORGSTROM (NPI# 1063981447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063981447 |
| Entity Type | Individual |
| Full Name | ERIK TYLER BORGSTROM |
| Practice Address |
4427 W Leila Ave Tampa FL 33616-1007 |
| Practice Telephone | 7274598188 |
| Mailing Telephone | 7274598188 |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN9438147 | FL | Nursing Service Providers |
| Street Address |
4427 W LEILA AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33616-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089557 | Shaun Corey Gamse | Nurse Practitioner | 5903 S Coolidge Ave, Tampa, FL 33616 | 2020-03-26 |
| 1942712799 | Rosalind Mckever | Case Manager/Care Coordinator | 7305 South Kissimmee Street, Tampa, FL 33616 | 2017-11-02 |
| 1740680156 | Kelsey Marie Klein | Developmental Therapist | 6301 S. Westhore Blvd. Apt. 424, Tampa, FL 33616 | 2014-09-04 |
| 1912400169 | Kelsey Christian | Health Educator | 4704b W Montgomery Ave, Tampa, FL 33616-1042 | 2018-03-14 |
| 1902430358 | Joanna Ortiz | Health Educator | 4704b W Montgomery Ave, Tampa, FL 33616-1042 | 2020-02-25 |
| 1528692084 | Susan Lee Mekler | Health Educator | 4704b W Montgomery Ave, Tampa, FL 33616-1042 | 2020-02-24 |
| 1972006138 | Andrea Giraldo | Health Educator | 4704b W Montgomery Ave, Tampa, FL 33616-1042 | 2018-03-14 |
| 1588167746 | Mandy Chan | Health Educator | 4704b W Montgomery Ave, Tampa, FL 33616-1042 | 2018-03-14 |
| 1538662705 | Gregory Eric Champlin | Health Educator | 4704b W Montgomery Ave, Tampa, FL 33616-1042 | 2018-03-14 |
| 1629163357 | Pushpa Shailesh Patel | Pharmacist | 5614 S. Manhattan Ave, Tampa, FL 33616-1043 | 2006-10-04 |
| Find all providers in zip 33616 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164050969 | Kristina Lynn Castillo | Registered Nurse | 6015 Murray Hill Dr, Tampa, FL 33615-3440 | 2020-03-29 |
| 1881060036 | Patricia Tener | Registered Nurse | 3208 Tarabrook Dr, Tampa, FL 33618-2568 | 2015-08-11 |
| 1245859925 | Hannah Crews | Registered Nurse | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2020-04-13 |
| 1922640549 | Kellen Osmond | Registered Nurse | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2019-10-15 |
| 1104475946 | Megan Mary Boissonnault | Registered Nurse | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2019-09-04 |
| 1235693268 | Beverly Suzanne Jucknath | Registered Nurse | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607-6307 | 2019-01-23 |
| 1215400189 | Daniel Adam Nunnelly | Registered Nurse | 1 Tampa General Cir # A327, Tampa, FL 33606-3571 | 2019-01-03 |
| 1598240004 | Domenic Dibartolomeo | Registered Nurse | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2018-10-01 |
| 1013405026 | Brittani Marie Roberts | Registered Nurse | 3100 E Fletcher Ave, Tampa, FL 33613 | 2018-04-25 |
| 1164922811 | Jacqueline Ooten | Registered Nurse | 17 Davis Blvd, Tampa, FL 33606-3475 | 2018-02-20 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on ERIK TYLER BORGSTROM.
| 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.