Individual
SUZETTE M BORNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
218 S HWY 141, CRIVITZ, WI 54114-1677
(715) 854-7477
(715) 854-7785
Mailing address
PO BOX 1866, GREEN BAY, WI 54305-1866
(920) 445-7210
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
5219-33
WI
363LF0000X
Family Nurse Practitioner
Primary
5219-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012012365
AMERICAN NURSES CREDENTIALING CENTER
—
Enumeration date
02/11/2013
Last updated
12/07/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us