Provider Demographics
NPI:1144101262
Name:BORGERS, WILLOW
Entity type:Individual
Prefix:
First Name:WILLOW
Middle Name:
Last Name:BORGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 E 4TH ST APT 334
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NE
Mailing Address - Zip Code:68787-2258
Mailing Address - Country:US
Mailing Address - Phone:605-860-8984
Mailing Address - Fax:
Practice Address - Street 1:611 VALLEY DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NE
Practice Address - Zip Code:68787-2277
Practice Address - Country:US
Practice Address - Phone:402-833-1080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion