Provider Demographics
NPI:1275030801
Name:BORGES, KATHERINE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:
Last Name:BORGES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1082
Mailing Address - Street 2:
Mailing Address - City:BIGFORK
Mailing Address - State:MT
Mailing Address - Zip Code:59911-1082
Mailing Address - Country:US
Mailing Address - Phone:406-426-2800
Mailing Address - Fax:406-578-3391
Practice Address - Street 1:2593 US HIGHWAY 2 E STE 1
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-9507
Practice Address - Country:US
Practice Address - Phone:406-426-2800
Practice Address - Fax:406-578-3391
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-10
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT144531363LF0000X
CA21145363LF0000X
MTNUR-APRN-LIC-144531363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily