Individual provider · Type 1 NPI
Dominque Borneman, BSN, RN
Student in an Organized Health Care Education/Training Program · Indianapolis, IN
NPI number
1609708254
Active
Practice location
3615 Woodale Rd
Indianapolis, IN 46234-1454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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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About NPI 1609708254
Dominque Borneman, BSN, RN's National Provider Identifier is 1609708254, issued on May 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on May 29, 2026.