Provider Demographics
NPI:1316323793
Name:BORSA, HILLARY ANN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:ANN
Last Name:BORSA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:HILLARY
Other - Middle Name:ANN
Other - Last Name:SENIUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:610 SOLAREX CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-8624
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:63 THOMAS JOHNSON DR
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4384
Practice Address - Country:US
Practice Address - Phone:301-694-7600
Practice Address - Fax:301-228-2500
Is Sole Proprietor?:No
Enumeration Date:2015-08-07
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY658596163W00000X
NYF339424363LA2200X
MDR222255363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD926580505Medicaid
MD926580507Medicaid
MD926580507Medicaid
MD451LMedicare PIN