Individual provider · NPI-1

Martha Jane Bordelon, CNP

Nurse Practitioner, Pediatrics · Rochester, MN

NPI number1972774255
StatusActive
Last updated in NPPESMar 14, 2008

Details

NPI
1972774255
Entity type
Individual (NPI-1)
Name
Ms. Martha Jane Bordelon
Credential
CNP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 14, 2008
Last updated
Mar 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsR0763732MNYes

Practice location

2100 Campus Dr Se
Rochester, MN 55904

Phone 507-328-7500 · Fax 507-328-7501

Mailing address

2100 Campus Dr Se
Rochester, MN 55904

Phone 507-328-7500 · Fax 507-328-7501

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Pediatrics providers in Rochester, MN