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