Provider Demographics
NPI:1497894612
Name:BORCHARDT, JOSELINE F (CPNP)
Entity Type:Individual
Prefix:
First Name:JOSELINE
Middle Name:F
Last Name:BORCHARDT
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7108 BANDERA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-1203
Mailing Address - Country:US
Mailing Address - Phone:210-680-2400
Mailing Address - Fax:830-310-8156
Practice Address - Street 1:7108 BANDERA RD
Practice Address - Street 2:
Practice Address - City:LEON VALLEY
Practice Address - State:TX
Practice Address - Zip Code:78238-1203
Practice Address - Country:US
Practice Address - Phone:210-680-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC005000685363LP0200X
TX686289363LP0200X
TXAP112099363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics