MRS. SHIRLEY BOROM R.N.
NPI 1649540261
Registered Nurse in Gary, IN

Active since January 12, 2012
1145 W 5TH AVE, GARY, IN 46402(219) 882-5565(219) 882-8213 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Shirley Borom R.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHIRLEY BOROM R.N. (NPI 1649540261) is an individual registered nurse in Gary, Indiana, licensed in Indiana (28093654A) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1649540261
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMRS. SHIRLEY BOROMCredential: R.N.
Location Address1145 W 5TH AVEGary, IN 46402-1704
Mailing Address1145 W 5th AveGary, IN 46402-1704 · (219) 882-5565 · Fax (219) 882-8213
Fax(219) 882-8213
Sole ProprietorNo
Enumeration DateJanuary 12, 2012
NPI 1649540261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in IN · 28093654A
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 28093654A (IN)
1145 W 5TH AVE, Gary, IN 46402

Other Identifiers 1

Medicaid100142050AIN

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1145 W 5TH AVE
GARY, IN 46402
Registered Nurse
1145 W 5TH AVE
GARY, IN 46402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley Borom's NPI number?

The NPI number for Shirley Borom is 1649540261. It was assigned to this individual provider in the NPPES registry on January 12, 2012.

Where is Shirley Borom located?

Shirley Borom practices at 1145 W 5th Ave, Gary, IN 46402. The listed phone number is (219) 882-5565.

What is Shirley Borom's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Shirley Borom was last updated on January 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.