Provider Demographics
NPI:1336372952
Name:BORSA, ROBIN LOUISE (NMD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:LOUISE
Last Name:BORSA
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7025 E 1ST AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-4326
Mailing Address - Country:US
Mailing Address - Phone:480-941-3890
Mailing Address - Fax:480-941-3891
Practice Address - Street 1:7025 E 1ST AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-4326
Practice Address - Country:US
Practice Address - Phone:480-390-6624
Practice Address - Fax:480-941-3891
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-30
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ03-721175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath