NPI 1972774255 · live from the CMS NPI Registry
Martha Jane Bordelon, CNP
Nurse Practitioner, Pediatrics in Rochester, MN. National Provider Identifier 1972774255, active.
NPI record
| NPI | 1972774255 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2100 Campus Dr Se, Rochester, MN 55904 |
| Practice phone | 507-328-7500 |
| Enumerated | March 14, 2008 |
| Last updated | March 14, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R0763732 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.