Provider Demographics
NPI:1346548849
Name:BOROWICZ, PATRICK EUGENE (RN)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:EUGENE
Last Name:BOROWICZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3524 MINIKAHDA CT APT 21
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-4930
Mailing Address - Country:US
Mailing Address - Phone:320-221-2554
Mailing Address - Fax:
Practice Address - Street 1:3524 MINIKAHDA CT APT 21
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-4930
Practice Address - Country:US
Practice Address - Phone:320-221-2554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 188132-5163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse