NPI 1972930733 · live from the CMS NPI Registry
Eric Bornemann, RN, CPNP-PC
Nurse Practitioner, Pediatrics in Sewanee, TN. National Provider Identifier 1972930733, active.
NPI record
| NPI | 1972930733 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1318 University Ave, Sewanee, TN 37375 |
| Practice phone | 931-598-9761 |
| Mailing address | 99 Walnut St, Apt. 205, Chattanooga, TN 37403 |
| Enumerated | October 10, 2013 |
| Last updated | October 10, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 17935 (TN) |
| Nurse Practitioner, Pediatrics | 363LP0200X | RN2281187 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.