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Maryellen Moran Bormett, DO
Student in an Organized Health Care Education/Training Program in Muncie, Indiana
NPI 1346930922

Maryellen Moran Bormett is a Student in an Organized Health Care Education/Training Program based in Muncie, IN. Maryellen Moran Bormett practices in Muncie, IN and has the professional credentials of DO. The NPI Number for Maryellen Moran Bormett is 1346930922 and holds a License No. (Indiana).

The current practice location address for Maryellen Moran Bormett is 221 N Celia Ave, Muncie, IN and can be reached out via phone at 765-751-5100.

Location: 221 N Celia Ave, Muncie, IN, 47303-4609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346930922
Provider Name
Maryellen Moran Bormett
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
221 N Celia Ave, Muncie, IN, 47303-4609
Phone Number
765-751-5100
Fax Number
Provider Enumeration Date
05/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
221 N Celia Ave
City
Muncie
State
Indiana
Zip
47303-4609
Phone Number
765-751-5100
Fax Number
person
Provider Business Mailing Address Details
Address
221 N Celia Ave
City
Muncie
State
Indiana
Zip
47303-4609
Phone Number
765-751-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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