Susan P Bornak is a Family in Clarion, Pennsylvania. Susan P Bornak practices all healthcare services and medical treatments related to Family. The NPI Number for Susan P Bornak is 1366598468. The last update date is 2007-07-08.
Susan P Bornak's current location address is 840 Wood St, Clarion, Pennsylvania. You can contact this provider via phone number 8143932121 and fax number 8143932035. The mailing address for Susan P Bornak is 840 Wood St, Clarion, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan P Bornak |
|---|---|
| Address | 840 Wood St, Clarion, Pennsylvania |
| Phone Number | 8143932121 |
| Fax Number | 8143932035 |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1366598468 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 840 Wood St |
|---|---|
| City | Clarion |
| State | Pennsylvania (PA) |
| Post Code | 162141240 |
| Phone Number | 8143932121 |
| Fax Number | 8143932035 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | VP003069B |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identifier code assigned to Susan P Bornak by the Centers for Medicare & Medicaid Services?
The Susan P Bornak has been issued the NPI (National Provider Identifier) 1366598468 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Susan P Bornak?
The Susan P Bornak is situated at 840 Wood St, in the city of Clarion, state of PA, with the zip code 162141240.
What is Susan P Bornak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan P Bornak is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did the Susan P Bornak receive its 1366598468 assignment from the Centers for Medicare & Medicaid Services?
The Susan P Bornak was assigned its 1366598468 by the Centers for Medicare & Medicaid Services on 2007-01-25.
When was the information regarding Susan P Bornak, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susan P Bornak, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH