Organization
BORNE MEDICAL, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER BORNE BORNE CRNA (OWNER)
(985) 665-6639
Entity
Organization
Contact information
Practice address
505 E AIRPORT AVE, BATON ROUGE, LA 70806-6515
(225) 769-2572
Mailing address
PO BOX 660257, BIRMINGHAM, AL 35266-0257
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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