Provider Demographics
NPI:1689971863
Name:BORDEN, CONSTANCE LOUISE (RN, MSN, ANP)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:LOUISE
Last Name:BORDEN
Suffix:
Gender:F
Credentials:RN, MSN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 DAY ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-2229
Mailing Address - Country:US
Mailing Address - Phone:415-695-2888
Mailing Address - Fax:
Practice Address - Street 1:426 DAY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-2229
Practice Address - Country:US
Practice Address - Phone:415-695-2888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA238475163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management