Mrs. Mary Kathleen Bornick, LICENSEPRACTICALNU
Mrs. Mary Kathleen Bornick, LICENSEPRACTICALNU is a Licensed Practical Nurse in Fort Atkinson, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2009
Practice location Address checks out
W 6143 N Thornapple CtFort Atkinson, WI 53538
Phone: (920) 563-2359
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Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 13474-031 (WI) |
|---|
Record details
| NPI number | 1306080551 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICENSEPRACTICALNU |
| Sole proprietor | Yes |
| NPI enumerated | April 30, 2009 |
| Last updated in NPPES | April 30, 2009 |
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