Edyta Marta Boron-Freseman

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

4704278153 Issued in MI

Practice address

105 Hall St Unit a
Traverse City, MI 49684-2288

Phone

(231) 620-9848

NPI assigned

Mar 14, 2023

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

State licenses

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1558062828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HALL ST UNIT A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842288",
            "telephone_number": "231-620-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HALL ST UNIT A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842288",
            "telephone_number": "231-620-9848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497382013",
            "country_code": "US",
            "telephone_number": "231-620-9848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORON-FRESEMAN",
        "first_name": "EDYTA",
        "middle_name": "MARTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MI",
            "license": "4704278153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas William Borgeld, PH.D.
• Brooke Alice Borgeson-Gray, NP
• Amy Borgman, PH.D.
• Dawn Colleen Borgula, MSN, FNP-BC
• Matthew Born, PHARMD
• Michael John Boros, MD
• Daniel J Boss, MD
• Elaine R Boss, RN
• Julie Ann Botsford, PHARMD
• Jessica Rose Bott, ATC

• Community Health Registered Nurse in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Community Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.