Marie Borovic
Individual provider Active NPI Licensed Practical Nurse · Painesville, OH
NPI 1497524334 · NPPES record last updated Dec 20, 2023
Key facts
- NPI
- 1497524334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN.133980.MEDS-IV (OH)
- Practice address
- 54 S State St
Painesville, OH 44077-3445 - Phone
- (440) 578-8200
- NPI assigned
- Dec 20, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN.133980.MEDS-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.133980.MEDS-IV | OH | Yes |
Addresses
Primary practice location
54 S State St
Painesville, OH 44077-3445
Mailing address
7232 Justin Way
Mentor, OH 44060-4881
Phone (440) 578-8200
Other providers in Painesville, OH
- Daniel James Blair
- Jodi M Blankenship
- Daniel Paul Blore
- E. Luke Bold
- Baylee Bond
- Megan Bosland
- Rob Bottiggi
- Antoinette Bower
- Julie Brizes
- Christine Brodzinski
All providers in Painesville, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2023. 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.