National Provider Identifier Database

MARY K BORNICK, LICENSE PRACTICAL NU – NPI #1306080551
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.


Contact Information

MARY K BORNICK, LICENSE PRACTICAL NU
W. 6143 N. THORNAPPLE COURT
FORT ATKINSON, WI53538
Phone: 920-563-2359
Fax:
Website:
Specialty Taxonomy Code
* Licensed Practical Nurse 164W00000X

* Indicates primary specialty

NPI Profile & details for MARY K BORNICK

NPI Number 1306080551
Credentials LICENSE PRACTICAL NU
Entity Individual
Enumeration date 04/30/2009
Last updated 04/30/2009 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • WI License #: 13474-031
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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