Provider Demographics
NPI:1841631975
Name:BORREGO, DEBORAH NICOLE (RN, FNP-BC, ACNPC-AG)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:NICOLE
Last Name:BORREGO
Suffix:
Gender:F
Credentials:RN, FNP-BC, ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58128 HIGHWAY 330
Mailing Address - Street 2:
Mailing Address - City:COLLBRAN
Mailing Address - State:CO
Mailing Address - Zip Code:81624-9502
Mailing Address - Country:US
Mailing Address - Phone:970-487-3565
Mailing Address - Fax:
Practice Address - Street 1:58128 HIGHWAY 330
Practice Address - Street 2:
Practice Address - City:COLLBRAN
Practice Address - State:CO
Practice Address - Zip Code:81624-9502
Practice Address - Country:US
Practice Address - Phone:970-487-3565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.099775-NP207P00000X
COAPN.0990775-NP207Q00000X, 363LP2300X
CONP 0990775363LA2100X
CORXN.0100993-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care