Active NPI
Wanda Jean Borges, CNS
- Medical-Surgical Clinical Nurse Specialist
- Las Cruces, NM
National Provider Identifier
1801895487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Clinical Nurse Specialist
- License
- R25981
- Practice address
- 520 Walton Blvd.
Suite C
Las Cruces, NM 88001 - Phone
- (575) 525-2700
- NPI assigned
- Jul 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Clinical Nurse Specialist | 364SM0705X | R25981 | NM | Primary |
Addresses
Primary practice location
520 Walton Blvd.
Suite C
Las Cruces, NM 88001
Mailing address
2020 Gladys Dr
Las Cruces, NM 88001-5806
Phone (575) 646-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R25981 | NM | MD | Medical-Surgical Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332720000000",
"number": "1801895487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 GLADYS DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880015806",
"telephone_number": "575-646-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 WALTON BLVD.",
"address_2": "SUITE C",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88001",
"telephone_number": "575-525-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGES",
"first_name": "WANDA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2012-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "364SM0705X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Medical-Surgical",
"state": "NM",
"license": "R25981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.