MARY KAY BORGSTROM (NPI# 1851638159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851638159 |
| Entity Type | Individual |
| Full Name | MARY KAY BORGSTROM |
| Credential | RN, PMHCNS-BC |
| Practice Address |
905 Forest Ave E Ste 150 Mora MN 55051-1632 |
| Mailing Address |
22594 N Shore Drive Pine City MN 55063 |
| Practice Telephone | 3206796325 |
| Mailing Telephone | 6124196417 |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R1108422 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487870697 | Mary Jeanette Borgstrom | Massage Therapist | 14602 Ok Mill Rd, Snohomish, WA 98290-5651 | 2007-04-17 |
| Street Address |
905 FOREST AVE E STE 150 |
| City | MORA |
| State | MN |
| Zip Code | 55051-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407085 | Anna Insley | Pharmacist | 301 Mn-65, Inpatient Pharmacy, Mora, MN 55051 | 2020-08-12 |
| 1609286368 | Love The Journey Inc | Clinic/Center | 23 Pine St N, Mora, MN 55051 | 2014-05-04 |
| 1386981637 | Urology Associates, Ltd. | Urology | 244 7th Street North, Mora, MN 55051 | 2013-01-07 |
| 1710236138 | Rebecca Suzanne Autio | Nurse Practitioner | 301 Highway 65 South, Mora, MN 55051 | 2012-08-30 |
| 1154639128 | Augustana Senior Development II | Assisted Living Facility | 170 Valhalla Circle, Mora, MN 55051 | 2010-09-23 |
| 1306064423 | Matthew Gordon Allen | Family Medicine | 331 South Highway 65, Mora, MN 55051 | 2007-04-23 |
| 1942359278 | Ralph Dale Swenson | Dentist | 620 S Union, Mora, MN 55051 | 2007-01-09 |
| 1376620013 | Mora Chiropractic Clinic P.C. | Chiropractor | 114 W Maple Ave, Mora, MN 55051 | 2006-11-01 |
| 1629181094 | Janice Lea Fleming | Internal Medicine | 301 S Hwy 65, Kanabee Hospital, Mora, MN 55051 | 2006-08-17 |
| 1467407502 | James Matthew Williams | Dentist | 620 S Union St, Mora, MN 55051 | 2006-05-24 |
| Find all providers in zip 55051 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073095063 | Taylor Ohotto | Registered Nurse | 644 Willoughby Way W, Hopkins, MN 55305-5352 | 2018-09-05 |
| 1043650534 | William Clare Cebulla | Registered Nurse | 29538 Olinda Trl, Lindstrom, MN 55045-9440 | 2013-06-27 |
| 1780951103 | Helen Margaret Knox | Registered Nurse | Hennepin County Government Center A14, 300 So 6th St, Minneapolis, MN 55487-0001 | 2011-11-30 |
| 1023229085 | Patricia K. Cretilli | Registered Nurse | 5430 Edgewater Blvd, Minneapolis, MN 55417-2604 | 2007-05-24 |
| 1093862732 | April Leta Wolfson | Registered Nurse | 327 Marschall Rd # 350, Shakopee, MN 55379-1687 | 2007-01-04 |
| 1992716245 | Cheryl A. Covert | Registered Nurse | 1044 Saint Johns Bay, Woodbury, MN 55129-8537 | 2006-08-11 |
| 1730164567 | Kathleen J Lietzau | Registered Nurse | 6950 146th St W, Suite 100, Apple Valley, MN 55124-4513 | 2005-12-14 |
| 1760956668 | Kathleen Elizabeth Pengelly | Registered Nurse | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2019-01-15 |
| 1255777322 | Sandra Jean Shadley | Registered Nurse | 225 Sherburne St N, Stillwater, MN 55082-4726 | 2013-05-16 |
| 1134497399 | Barbara Ann Erickson | Registered Nurse | 300 S 6th St, Government Center A1400, Minneapolis, MN 55487-0999 | 2011-12-02 |
| Find all providers with the same taxonomy | ||||
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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.