Individual
MS. JEANNE LOUISE BORGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
744 S. WEBSTER AVE, GREEN BAY, WI 54303-3400
(920) 433-3605
(920) 433-3589
Mailing address
PO BOX 23400, GREEN BAY, WI 54305-3400
(920) 433-3605
(920) 433-3589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
82268-030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
050562
WI
Other
Enumeration date
05/10/2007
Last updated
11/18/2014
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