SHANNON BORMANN

LAFAYETTE, IN
NPI1912427188
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  28199577A)
Enumeration Date2017-06-20
Last Update Date2021-03-10
Business Address
SHANNON BORMANN CRNA
2600 GREENBUSH ST
LAFAYETTE, IN 47904-2477
Phone number: 765-448-8000
Mailing Address
SHANNON BORMANN CRNA
PO BOX 5545
LAFAYETTE, IN 47903-5545
Phone number: 765-448-8000
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