Provider Demographics
NPI:1801952361
Name:VONBORSTEL, NOREEN HILKER (FNP)
Entity type:Individual
Prefix:MRS
First Name:NOREEN
Middle Name:HILKER
Last Name:VONBORSTEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:138 HOUGH RD
Mailing Address - Street 2:
Mailing Address - City:MASSENA
Mailing Address - State:NY
Mailing Address - Zip Code:13662-3306
Mailing Address - Country:US
Mailing Address - Phone:315-764-9527
Mailing Address - Fax:315-764-9527
Practice Address - Street 1:173 E ORVIS ST
Practice Address - Street 2:DOCTORS CLINC
Practice Address - City:MASSENA
Practice Address - State:NY
Practice Address - Zip Code:13662-2256
Practice Address - Country:US
Practice Address - Phone:315-764-0501
Practice Address - Fax:315-764-5189
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF331822363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA7585Medicare PIN
NYQ19937Medicare UPIN