Individual
KRISTINA LOUISE BORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1502 LONDON ROAD, SUITE 102, DULUTH, MN 55812
(218) 576-0100
Mailing address
400 E THIRD ST MSS 6AV-1, DULUTH, MN 55805-1951
(218) 786-8319
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
178477-30
WI
363LF0000X
Family Nurse Practitioner
2548
MN
Other
Enumeration date
08/03/2012
Last updated
06/27/2022
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