Female

Angela M. Bornino ARNP

Gerontology Nurse Practitioner in Minneapolis, MN(View on Map)

Full Name

Angela M Bornino ARNP

NPI Number

1760904841

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/11/2017

Specialties

(Taxonomies)

Code

363LG0600X
363LA2200X
363L00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Michigan
Minnesota
Washington

License Number

4704326984
11089
AP60928364

Contact
Information

Purpose

Mailing
Location

Address

550 GAGE BLVD STE 101
800 E 28TH ST

City

Richland
Minneapolis

State

WA
MN

Postal Code

99352-9532
55407-3723

Country

US
US

Telephone Number

(509) 942-3627
(651) 635-9173

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

abornino1106623@wm.providencedirect.org

Endpoint Description

Unknown

Use

Direct

Content Type

Unknown

Affiliation

N

Endpoint Location

560 Gage Blvd Ste 203Richland, WA993528650US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/17/2024

Provider Address

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