Provider Demographics
NPI:1245981463
Name:BORCHERS, PEGGY S (RN)
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:S
Last Name:BORCHERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 JAMES ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13203-2661
Mailing Address - Country:US
Mailing Address - Phone:315-671-4655
Mailing Address - Fax:315-671-2936
Practice Address - Street 1:635 JAMES ST STE 1
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-2661
Practice Address - Country:US
Practice Address - Phone:315-671-4655
Practice Address - Fax:315-671-2936
Is Sole Proprietor?:No
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY463165163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse