Provider Demographics
NPI:1407977218
Name:BORGMEYER, ANNE E (RN CPNP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:E
Last Name:BORGMEYER
Suffix:
Gender:F
Credentials:RN CPNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3961 HOLLY HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63116-3135
Mailing Address - Country:US
Mailing Address - Phone:314-752-2528
Mailing Address - Fax:
Practice Address - Street 1:1 CHILDREN'S PLACE
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1077
Practice Address - Country:US
Practice Address - Phone:314-454-4516
Practice Address - Fax:314-454-4595
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO065419363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics