Mrs Russell Roy Boersma, LPN - Licensed Vocational Nurse in Fort Belvoir, VA

Mrs Russell Roy Boersma, LPN is a Licensed Vocational Nurse based in Fort Belvoir, Virginia. Mrs Russell Roy Boersma is licensed to practice in California (license number 159452) and his current practice location is 9501 Farrell Rd, Fort Belvoir, Virginia. He can be reached at his office (for appointments etc.) via phone at (703) 805-0599.

NPI number for Mrs Russell Roy Boersma is 1245221217 and his current mailing address is 48 Tavern Rd, Stafford, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245221217.

Contact Information

Mrs Russell Roy Boersma, LPN
9501 Farrell Rd,
Fort Belvoir, VA 22060-5901
(703) 805-0599
Not Available



Provider's Profile

Full NameMrs Russell Roy Boersma
GenderMale
SpecialityLicensed Vocational Nurse
Location9501 Farrell Rd, Fort Belvoir, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245221217
  • Provider Enumeration Date: 10/31/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Russell Roy Boersma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245221217NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse 159452 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Russell Roy Boersma is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Russell Roy Boersma, LPN
48 Tavern Rd,
Stafford, VA 22554-8814

Ph: (540) 657-8750
Mrs Russell Roy Boersma, LPN
9501 Farrell Rd,
Fort Belvoir, VA 22060-5901

Ph: (703) 805-0599

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Licensed Vocational Nurse Nurses in Fort Belvoir, VA

Mrs. Deanna Michelle Owens, LVN
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 9501 Farrell Rd, Fort Belvoir, VA 22060
Phone: 703-805-0599    

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