Provider Demographics
NPI:1912797259
Name:BORMANN, JULIANA KAY (ARNP)
Entity type:Individual
Prefix:MRS
First Name:JULIANA
Middle Name:KAY
Last Name:BORMANN
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:BODE
Mailing Address - State:IA
Mailing Address - Zip Code:50519-8501
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1010 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:BODE
Practice Address - State:IA
Practice Address - Zip Code:50519-8501
Practice Address - Country:US
Practice Address - Phone:515-368-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAAG04250061363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner