Provider Demographics
NPI:1154036911
Name:BOROVE, AMY (CNM)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:BOROVE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:KINGSLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18826-6580
Mailing Address - Country:US
Mailing Address - Phone:570-369-6580
Mailing Address - Fax:
Practice Address - Street 1:626 PARK ST
Practice Address - Street 2:
Practice Address - City:HONESDALE
Practice Address - State:PA
Practice Address - Zip Code:18431-1446
Practice Address - Country:US
Practice Address - Phone:570-253-3005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-17
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010720176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife