Amanda Catherine Borgstrom, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NN11354300 Issued in NJ

Practice address

University Health Service
Princeton University
Princeton, NJ 08544-0001

Phone

(609) 258-4277

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285852574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LANDVIEW LN",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080222259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY HEALTH SERVICE",
            "address_2": "PRINCETON UNIVERSITY",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085440001",
            "telephone_number": "609-258-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGSTROM",
        "first_name": "AMANDA",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN11354300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Tolmie Bond, LMFT
• Anthony Jake Boniello, M.D.
• Lauren Book, LPC
• Frank Victor McLean Booth, BM BCH
• Jessica Bordas
• Borough of Princeton
• James Malcolm Borthwick, MD
• Robin Boudette, PHD
• Tamisha Bourne, CMT
• Katherine Bowden, LCSW

• Family Nurse Practitioner in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.