Heidi Nicole Boroff, RN
Individual provider Active NPI Hospice Registered Nurse · Woodburn, IN
NPI 1053977496 · NPPES record last updated May 10, 2019
Key facts
- NPI
- 1053977496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospice Registered Nurse 163WH1000X
- License
- 28210318A (IN)
- Practice address
- 6705 N State Line Rd
Woodburn, IN 46797-9736 - Phone
- (260) 417-5514
- NPI assigned
- May 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28210318A | IN | MD | Hospice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian Angels Hospice Care LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | 28210318A | IN | Yes |
Addresses
Primary practice location
6705 N State Line Rd
Woodburn, IN 46797-9736
Mailing address
6705 N State Line Rd
Woodburn, IN 46797-9736
Phone (260) 417-5514
Other providers in Woodburn, IN
- Bull Chiropractic Woodburn
- GFD WB, LLC
- Gibson Mobility and Transportation,Inc.
- Mary Ellen Gordon
- Heather Jeanne Hicks
All providers in Woodburn, IN · Hospice Registered Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.