Provider Demographics
NPI:1487001442
Name:BORROWMAN, RYAN T (NP-C)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:T
Last Name:BORROWMAN
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1664 S DIXIE DR
Mailing Address - Street 2:STE D102
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-7329
Mailing Address - Country:US
Mailing Address - Phone:435-656-2995
Mailing Address - Fax:435-656-3237
Practice Address - Street 1:1664 S DIXIE DR
Practice Address - Street 2:STE D102
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-7329
Practice Address - Country:US
Practice Address - Phone:435-656-2995
Practice Address - Fax:435-656-3237
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-19
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT350344-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily