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
Phone: (850) 863-6600
Fax: (850) 862-0977
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467988220 | NPPES |
| Florida | MEDICAID | 021145900 | |
| Florida | Other | NI7ED |
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