| Ms Elyse S Borha, BSN, MSN, FNP-BC | |
|
12836 S New Rowley Ln, Herriman, UT 84096-1430 | |
| (347) 613-3493 | |
| Not Available |
| Full Name | Ms Elyse S Borha |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12836 S New Rowley Ln, Herriman, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073155594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9015163-4405 (Utah) | Primary |
| Entity Name | Woundtech Of Utah Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750922415 PECOS PAC ID: 3779919063 Enrollment ID: O20200205000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Elyse S Borha, BSN, MSN, FNP-BC 12836 S New Rowley Ln, Herriman, UT 84096-1430 Ph: (347) 613-3493 | Ms Elyse S Borha, BSN, MSN, FNP-BC 12836 S New Rowley Ln, Herriman, UT 84096-1430 Ph: (347) 613-3493 |
Kirt W Larson, MSN,FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13352 South 5600 West, Herriman, UT 84096 Phone: 801-446-2760 Fax: 801-446-2762 | |
Mrs. Shelby Sue Bowman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14176 S Wembley Cir, Herriman, UT 84096 Phone: 801-413-6307 | |
Hannah Thompson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14448 S Temecula Ct, Herriman, UT 84096 Phone: 702-509-0584 | |
Mrs. Edith A Shepherd, APRN LLC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6923 W Long Ridge Dr, Herriman, UT 84096 Phone: 801-662-8951 Fax: 801-542-0671 | |
Penny Wesel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5643 W Bonica Ln, Herriman, UT 84096 Phone: 801-472-4836 | |
Patricio Mendoza, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6489 W Rivulet Rd, Herriman, UT 84096 Phone: 801-699-5629 |