Provider Demographics
NPI:1992575609
Name:BOROSKI, WHITNEY M (NBC-HWC)
Entity type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:M
Last Name:BOROSKI
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18861 SERMON RD
Mailing Address - Street 2:
Mailing Address - City:HOUGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:49931-9291
Mailing Address - Country:US
Mailing Address - Phone:906-369-1216
Mailing Address - Fax:
Practice Address - Street 1:18861 SERMON RD
Practice Address - Street 2:
Practice Address - City:HOUGHTON
Practice Address - State:MI
Practice Address - Zip Code:49931-9291
Practice Address - Country:US
Practice Address - Phone:906-369-1216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIA-3814240171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach