Borner, Katrina Pendleton

Borner, Katrina Pendleton is an individual health care provider with primary practice located at 1005 Mar Walt Dr , Fort Walton Beach FL 32547-6707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Borner, Katrina Pendleton can be contacted via phone (850) 863-6600.

Contact Information

Primary practice address
1005 Mar Walt Dr Fort Walton Beach FL 32547-6707
Fax: (850) 862-0977
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9354301 Florida

Profile Details

NPI number 1467988220
LBN Legal business name Borner, Katrina Pendleton
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Mar 6th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467988220 NPPES
Florida MEDICAID 021145900
Florida Other NI7ED

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