Individual
MELISSA RENAE BORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN
Contact information
Practice address
721 K ST, LINCOLN, NE 68508-2949
(402) 477-3951
Mailing address
4954 MYRTLE ST, LINCOLN, NE 68506-6308
(402) 560-1838
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
51861
NE
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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