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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY KAY BORGSTROM, RN, PMHCNS-BC

Active Sole Proprietor

MARY KAY BORGSTROM, RN, PMHCNS-BC is a Substance Abuse Psychiatric Nurse healthcare provider located in MORA, Minnesota. NPI 1851638159 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Psychiatric Nurse · MORA, MN

Registration Details

NPI Number
1851638159
Provider Type
Individual
Gender
Female
NPI Issued
Jan 8, 2013 (13.625327995418 yrs)
Last Updated
Jan 8, 2013
License
R1108422 (MN)
Sole Proprietor
Yes

Practice Information

Address
905 FOREST AVE E STE 150
MORA, MN, 550511632
Browse MN providers · Browse ZIP 55051
Phone
3206796325
Primary Specialty
Substance Abuse Psychiatric Nurse
163WP0809X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.