Individual ProviderPatra Ann BordenNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address347 Smith Ave N, Saint Paul, MN 55102-2387(651) 220-6000PECOS EnrollmentBased on the most recent information from CMS, provider Patra Ann Borden does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1013426147Provider TypeIndividualFull NameBorden, Patra AnnCredentialMSN, APRN, NNP-BCGenderFemaleSole ProprietorNoEnumeration Date9/20/2017Last Updated6/2/2022Contact InformationPractice LocationPractice Address347 Smith Ave N, Saint Paul, MN 55102-2387Phone(651) 220-6000FaxUnlisted FaxMailing LocationMailing Address347 Smith Ave N, Saint Paul, MN 55102-2387Phone(651) 220-6000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LN0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5525MinnesotaCode163WN0002XDescriptionRegistered NurseNursing Service ProvidersLicenseR198224-0Minnesota