Provider Demographics
NPI:1467942045
Name:BORST, ANDREA NICOLE (DNP PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:NICOLE
Last Name:BORST
Suffix:
Gender:F
Credentials:DNP PMHNP-BC
Other - Prefix:DR
Other - First Name:ANDREA
Other - Middle Name:NICOLE
Other - Last Name:BARAJAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, PMHNP-BC
Mailing Address - Street 1:3500 HARBISON DR APT 534
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-3917
Mailing Address - Country:US
Mailing Address - Phone:678-925-8074
Mailing Address - Fax:
Practice Address - Street 1:559 VINCENT ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80914-1541
Practice Address - Country:US
Practice Address - Phone:719-556-7804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-18
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV818395363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health