Provider Demographics
NPI:1588723753
Name:BOROVIC, KATHERINE THERESE JR (RN)
Entity type:Individual
Prefix:MISS
First Name:KATHERINE
Middle Name:THERESE
Last Name:BOROVIC
Suffix:JR
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18115 ROSECLIFF RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44119-1631
Mailing Address - Country:US
Mailing Address - Phone:216-481-2123
Mailing Address - Fax:
Practice Address - Street 1:18115 ROSECLIFF RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44119-1631
Practice Address - Country:US
Practice Address - Phone:216-481-2123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-234378163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health