Individual provider · Type 1 NPI

Mary Kathleen Bornick, LICENSE PRACTICAL NU

Licensed Practical Nurse · Fort Atkinson, WI

NPI number 1306080551 Active

Practice location

W. 6143 N. Thornapple Court
Fort Atkinson, WI 53538

Call (920) 563-2359 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X13474-031 (WI)

Licensed Practical Nurse: 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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About NPI 1306080551

Mary Kathleen Bornick, LICENSE PRACTICAL NU's National Provider Identifier is 1306080551, issued on Apr 30, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Atkinson, WI. The record was last updated on Apr 30, 2009.