LISA ANN BORUNDA (NPI# 1912937343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912937343 |
Entity Type | Individual |
Full Name | LISA ANN BORUNDA |
Other Name | LISA ANN RONDO |
Credential | C-FNP |
Practice Address |
295 S 1470 E Ste 300 Saint George UT 84790-1762 |
Practice Telephone | 4356740999 |
Practice Fax Number | 4356740960 |
Mailing Telephone | 4356740999 |
Mailing Fax Number | 4356740960 |
Enumeration Date | 2006-07-03 |
Last Update Date | 2019-10-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
1939514405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
295 S 1470 E STE 300 |
City | SAINT GEORGE |
State | UT |
Zip Code | 84790-1762 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053313676 | Tracy D Kvarfordt | Obstetrics & Gynecology | 295 S 1470 E Ste 300, Saint George, UT 84790-1762 | 2005-08-12 |
1538452834 | Lunt & Kvarfordt LLC | Obstetrics & Gynecology | 295 S 1470 E Ste 300, Saint George, UT 84790 | 2011-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
Find all providers in zip 84790 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366004244 | Brittany Elise Mccready | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2019-07-01 |
1366003840 | Jennifer Lauren Smith | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2019-06-25 |
1689237745 | Tiffani Jane Guymon | Nurse Practitioner | 527 W 400 N Ste 4, Orem, UT 84057-1951 | 2019-04-15 |
1437607876 | Sarah Roberts | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2016-09-14 |
1356742233 | Jutta Deininger | Nurse Practitioner | 1950 Circle of Hope, Clinic 3a, Salt Lake City, UT 84112-5550 | 2014-09-10 |
1295166809 | Marnae Harward | Nurse Practitioner | 1140 E 3900 S, Ste 400, Salt Lake City, UT 84124-1228 | 2013-12-06 |
1508046772 | Patricia Marie James | Nurse Practitioner | 1580 W Antelope Dr, Suite 290, Layton, UT 84041-1160 | 2007-11-05 |
1821114505 | Jennifer Ann Booth | Nurse Practitioner | 920 N 500 W, Provo, UT 84604-3339 | 2007-03-22 |
1063538775 | Heidi Mcsweeney | Nurse Practitioner | 920 N 500 W, Provo, UT 84604-3339 | 2007-03-22 |
1689716888 | A. Sue Montiel | Nurse Practitioner | 24 S 1100 E, Ste 209, Salt Lake City, UT 84102-1580 | 2007-02-13 |
Find all providers with the same taxonomy |
City | SAINT GEORGE |
Zip Code | 84790 |
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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.