Individual provider · Type 1 NPI
Angela M. Bornino, ARNP
Gerontology Nurse Practitioner · Minneapolis, MN
NPI number
1760904841
Active
Practice location
800 E 28th St
Minneapolis, MN 55407-3723
Fax (651) 628-2999
Mailing address
550 Gage Blvd Ste 101
Richland, WA 99352-9532
Other practice locations
- 560 Gage Blvd Ste 203, Richland, WA 99352-8650 · (509) 942-3135
- 2100 Raybrook St SE Ste 303, Grand Rapids, MI 49546-5783 · (616) 235-5100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704326984 (MI) |
| Adult Health Nurse Practitioner | 363LA2200X | AP60928364 (WA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 11089 (MN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1760904841
Angela M. Bornino, ARNP's National Provider Identifier is 1760904841, issued on Jul 11, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 17, 2024.