NPI 1891335360 · live from the CMS NPI Registry
Carson Mikaela Borgmeyer, CPNP
Nurse Practitioner, Pediatrics in Jefferson City, MO. National Provider Identifier 1891335360, active.
NPI record
| NPI | 1891335360 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1241 W Stadium Blvd, Jefferson City, MO 65109 |
| Practice phone | 573-556-7704 |
| Enumerated | January 13, 2020 |
| Last updated | January 13, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 2019028113 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.