Provider Demographics
NPI:1194405837
Name:BORCKY, KRISTINA RENEE (MSN, FNP-C, OCN)
Entity type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:RENEE
Last Name:BORCKY
Suffix:
Gender:F
Credentials:MSN, FNP-C, OCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 HELEN DR
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:DE
Mailing Address - Zip Code:19734-2407
Mailing Address - Country:US
Mailing Address - Phone:302-668-6599
Mailing Address - Fax:
Practice Address - Street 1:421 E MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1463
Practice Address - Country:US
Practice Address - Phone:023-765-8303
Practice Address - Fax:302-376-6517
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0012380363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily