Provider Demographics
NPI:1346559929
Name:BORRMANN, DIANNA JEAN (RMA)
Entity Type:Individual
Prefix:MRS
First Name:DIANNA
Middle Name:JEAN
Last Name:BORRMANN
Suffix:
Gender:F
Credentials:RMA
Other - Prefix:MRS
Other - First Name:DIANNA
Other - Middle Name:
Other - Last Name:BORRMANN-SEIJAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RMA
Mailing Address - Street 1:512 S ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:FL
Mailing Address - Zip Code:34465-4345
Mailing Address - Country:US
Mailing Address - Phone:352-400-5103
Mailing Address - Fax:352-637-0106
Practice Address - Street 1:512 S ADAMS ST
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:FL
Practice Address - Zip Code:34465-4345
Practice Address - Country:US
Practice Address - Phone:352-400-5103
Practice Address - Fax:352-637-0106
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide