Bornemann, Suzette M

Bornemann, Suzette M is an individual health care provider with primary practice located at 218 S Hwy 141 , Crivitz WI 54114-1677. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bornemann, Suzette M can be contacted via phone (715) 854-7477.

Contact Information

Primary practice address
218 S Hwy 141 Crivitz WI 54114-1677
Phone: (715) 854-7477
Fax: (715) 854-7785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 5219-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5219-33 Wisconsin

Profile Details

NPI number 1851630834
LBN Legal business name Bornemann, Suzette M
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2013
Last updated Dec 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851630834 NPPES
Other 2012012365 AMERICAN NURSES CREDENTIALING CENTER

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