Nicole Borem CRNA

NPI 1023068269 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1023068269
Gender Female
Enumeration Date 05/10/2006
Last Updated 02/12/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
500 N NAPPANEE ST
SUITE 11B
ELKHART IN, 46514-1503, US
Phone (574) 522-9922
Fax
Business Location
541 OTIS BOWEN DR
MUNSTER IN, 46321-4158, US
Phone (219) 934-5300
Fax
Toxanomy
Taxonomy Code 367500000X
License State Indiana
License Number 28141071
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According to our database, Nicole Borem CRNA NPI is 1023068269, taxonomy code is 367500000X and license number is 28141071, license state is located at Indiana. Nicole Borem CRNA physically located at 500 N Nappanee St, Elkhart IN, 46514-1503. NPI Number Nicole Borem CRNA has the Individual type.

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1023068269 NPI number is provided on an as is basis without warranty of any kind. 1023068269 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Borem CRNA are for informational purposes only.