Provider Demographics
NPI:1891037099
Name:BORROMEO, JOSEFINA CLAVERIA (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:JOSEFINA
Middle Name:CLAVERIA
Last Name:BORROMEO
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 N 200TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3101
Mailing Address - Country:US
Mailing Address - Phone:206-300-4724
Mailing Address - Fax:206-546-4934
Practice Address - Street 1:757 N 200TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3101
Practice Address - Country:US
Practice Address - Phone:206-300-4724
Practice Address - Fax:206-546-4934
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00126085163W00000X, 163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163W00000XNursing Service ProvidersRegistered Nurse