Angela M Bornino, ARNP
Nurse Practitioner, Gerontology in Minneapolis, MN. Individual provider (NPI-1).
NPI number1760904841
StatusActive
Last updated in NPPESJun 17, 2024
Details
- NPI
- 1760904841
- Entity type
- Individual (NPI-1)
- Name
- Angela M Bornino
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2017
- Certification date
- Jun 17, 2024
- Last updated
- Jun 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 11089 | MN | Yes |
| 363L00000X | Nurse Practitioner | 4704326984 | MI | |
| 363LA2200X | Nurse Practitioner, Adult Health | AP60928364 | WA |
Practice location
800 E 28th StMinneapolis, MN 55407-3723
Phone 651-635-9173 · Fax 651-628-2999
Mailing address
550 Gage Blvd Ste 101Richland, WA 99352-9532
Phone 509-942-3627 · Fax 509-627-2983
Other practice locations
2100 Raybrook St Se Ste 303
Grand Rapids, MI 49546-5783
Grand Rapids, MI 49546-5783
Phone 616-235-5100
560 Gage Blvd Ste 203
Richland, WA 99352-8650
Richland, WA 99352-8650
Phone 509-942-3135 · Fax 509-627-1188
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All 109 Gerontology Nurse Practitioner providers in Minneapolis · All 27,202 providers in Minneapolis
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