Angela Evette Boreland, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

1615812 Issued in GA

Practice address

1611 NW 12TH Ave
Miami, FL 33136-1005

Phone

(305) 585-6262

Fax

(305) 585-7902

NPI assigned

Jun 26, 2008

Sex

Female

Sole proprietor

Yes

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1306008735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6262",
            "fax_number": "305-585-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6262",
            "fax_number": "305-585-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORELAND",
        "first_name": "ANGELA",
        "middle_name": "EVETTE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "GA",
            "license": "1615812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Humberto Bordenave, MD
• Ashley Bordon
• Sergio Bordon
• Stephanie Michelle Bordonaba, OT
• Paola Andrea Bordoni, D.O.
• Perla Borelli, PA-C
• Shedrick John Boren, LCSW
• Michal Borenstein
• Chester Borge, PA-C
• Kelenis Borge

• All providers in Miami, FL
• Ambulatory Care Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.