Provider Demographics
NPI:1326640038
Name:BOROVINA, ELDENA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ELDENA
Middle Name:
Last Name:BOROVINA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 CAUGHEY RD STE 150
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-4041
Mailing Address - Country:US
Mailing Address - Phone:814-877-5401
Mailing Address - Fax:814-877-5400
Practice Address - Street 1:3910 CAUGHEY RD STE 150
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-4041
Practice Address - Country:US
Practice Address - Phone:814-877-5400
Practice Address - Fax:814-877-5401
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA062028363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical