Coreyne Lynne Bormann, CRNA | |
350 N Grandview Ave, Dubuque, IA 52001-6388 | |
(563) 582-1881 | |
Not Available |
Full Name | Coreyne Lynne Bormann |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 350 N Grandview Ave, Dubuque, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1255019253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | D175182 (Iowa) | Primary |
Entity Name | Grandview Anesthesia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407458367 PECOS PAC ID: 0749691335 Enrollment ID: O20201203001612 |
Mailing Address | Practice Location Address |
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Coreyne Lynne Bormann, CRNA 260 Hawkeye Ct Apt 108, Iowa City, IA 52246-2865 Ph: (507) 513-1481 | Coreyne Lynne Bormann, CRNA 350 N Grandview Ave, Dubuque, IA 52001-6388 Ph: (563) 582-1881 |
Anna M Henningsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 Associates Dr, Dubuque, IA 52002 Phone: 563-584-4500 | |
Brett Maag, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1515 Delhi St, Suite 300, Dubuque, IA 52001 Phone: 563-557-5991 Fax: 563-589-4078 | |
Matthew J Stader, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 John F Kennedy Rd, Dubuque, IA 52002 Phone: 563-556-8332 Fax: 563-556-8334 | |
Phillip Guillien, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Grandview Ave, Dubuque, IA 52001 Phone: 507-459-2358 | |
Terrence J. Hutchcroft, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1515 Delhi St Suite 300, Dubuque, IA 52001 Phone: 563-557-8500 Fax: 563-589-4050 | |
James W. Wieters, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1515 Delhi St Suite 300, Dubuque, IA 52001 Phone: 563-557-8500 Fax: 563-589-4050 |