Provider Demographics
NPI:1437048840
Name:BORGMAN, DANA NOELLE (RN, SANE-A)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:NOELLE
Last Name:BORGMAN
Suffix:
Gender:F
Credentials:RN, SANE-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 N HILLSIDE ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-4976
Mailing Address - Country:US
Mailing Address - Phone:620-345-6840
Mailing Address - Fax:620-345-6840
Practice Address - Street 1:550 N HILLSIDE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-4976
Practice Address - Country:US
Practice Address - Phone:620-345-6840
Practice Address - Fax:620-345-6840
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-126116-091163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse