Provider Demographics
NPI:1669955241
Name:BORDEN, MEGAN JEAN (LVN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:JEAN
Last Name:BORDEN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2523 OHIO DR APT 1202
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3593
Mailing Address - Country:US
Mailing Address - Phone:513-348-8973
Mailing Address - Fax:
Practice Address - Street 1:2523 OHIO DR APT 1202
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3593
Practice Address - Country:US
Practice Address - Phone:513-348-8973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343485164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse