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NPI Code Detail

MEDICARE: DEBRA BORMANIS NP-C, MBA-HCM

MEDICARE: DEBRA BORMANIS NP-C, MBA-HCM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN.0109212CO
2363L00000XNurse PractitionerAPN.0002968-NPCO
3363LF0000XFamily Nurse PractitionerAPN.0002968-NPCO

General Provider Information

NPI Number : 1790877751
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA BORMANIS NP-C, MBA-HCM
Provider Business Mailing Address
First Line : 2767 JANITELL RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-4102
Country : US
Telephone Number : 719-365-2888
Fax Number : 970-365-1577
Provider Business Practice Location Address
First Line : 2767 JANITELL RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-4102
Country : US
Telephone Number : 719-365-2888
Fax Number : 970-365-1577
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 03/04/2020

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