Individual
ERIC BORNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CPNP-PC
Contact information
Practice address
1318 UNIVERSITY AVE, SEWANEE, TN 37375-2336
(931) 598-9761
Mailing address
99 WALNUT ST, APT. 205, CHATTANOOGA, TN 37403-1134
(617) 279-9202
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
17935
TN
363LP0200X
Pediatric Nurse Practitioner
RN2281187
MA
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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