Provider Demographics
NPI:1053940791
Name:BORST, CHRISTINA LOUISE (DNP PMHNP, APRN)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:LOUISE
Last Name:BORST
Suffix:
Gender:F
Credentials:DNP PMHNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 96
Mailing Address - Street 2:
Mailing Address - City:POWER
Mailing Address - State:MT
Mailing Address - Zip Code:59468-0096
Mailing Address - Country:US
Mailing Address - Phone:406-478-5510
Mailing Address - Fax:406-403-0423
Practice Address - Street 1:124 MAIN AVE N
Practice Address - Street 2:
Practice Address - City:CHOTEAU
Practice Address - State:MT
Practice Address - Zip Code:59422-9410
Practice Address - Country:US
Practice Address - Phone:406-478-5510
Practice Address - Fax:406-403-0423
Is Sole Proprietor?:No
Enumeration Date:2020-04-04
Last Update Date:2020-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-158635363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health