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Mrs. Mary Kathleen Bornick, LICENSEPRACTICALNU
Licensed Practical Nurse in Fort Atkinson, Wisconsin
NPI 1306080551

Mary Kathleen Bornick is a Licensed Practical Nurse based in Fort Atkinson, WI. Mary Kathleen Bornick practices in Fort Atkinson, WI and has the professional credentials of LICENSEPRACTICALNU. The NPI Number for Mary Kathleen Bornick is 1306080551 and holds a License No. 13474-031 (Wisconsin).

The current practice location address for Mary Kathleen Bornick is W. 6143 N. Thornapple Court, Fort Atkinson, WI and can be reached out via phone at 920-563-2359.

Location: W. 6143 N. Thornapple Court, Fort Atkinson, WI, 53538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306080551
Provider Name
Mary Kathleen Bornick
Credential
LICENSEPRACTICALNU
Provider Entity Type
Individual
Gender
Female
Address
W. 6143 N. Thornapple Court, Fort Atkinson, WI, 53538
Phone Number
920-563-2359
Fax Number
Provider Enumeration Date
04/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
W. 6143 N. Thornapple Court
City
Fort Atkinson
State
Wisconsin
Zip
53538
Phone Number
920-563-2359
Fax Number
person
Provider Business Mailing Address Details
Address
W. 6143 N. Thornapple Court
City
Fort Atkinson
State
Wisconsin
Zip
53538
Phone Number
920-563-2359
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
13474-031 (Wisconsin)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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