MRS. Mary Kathleen Bornick, LICENSE PRACTICAL NU
NPI #1306080551 in Fort Atkinson, Wisconsin
Provider Information
- NPI Number
- 1306080551
- Entity Type
- Individual
- Name
- MRS. Mary Kathleen Bornick, LICENSE PRACTICAL NU
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LICENSE PRACTICAL NU
- Enumeration Date
- Apr 30, 2009
- Last Updated
- Apr 30, 2009
Practice Location
- Address
- W. 6143 N. THORNAPPLE COURT
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538
- Phone
- (920) 563-2359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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