Ryan Borr, CRNA
Nurse Anesthetist, Certified Registered in Holland, MI. Individual provider (NPI-1).
NPI number1265779409
StatusActive
Last updated in NPPESJun 16, 2025
Details
- NPI
- 1265779409
- Entity type
- Individual (NPI-1)
- Name
- Ryan Borr
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2013
- Certification date
- Jun 16, 2025
- Last updated
- Jun 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704267123 | MI | Yes |
| 163W00000X | Registered Nurse | 4704267123 | MI |
Practice location
602 Michigan AveHolland, MI 49423-4918
Phone 616-392-5141
Mailing address
2450 Van Ommen Dr Ste BHolland, MI 49424-8085
Phone 616-399-4946
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