| Mrs Shirley Borom, RN | |
|
1145 W 5th Ave, Gary, IN 46402-1704 | |
| (219) 882-5565 | |
| (219) 882-8213 |
| Full Name | Mrs Shirley Borom |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 1145 W 5th Ave, Gary, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649540261 | NPI | - | NPPES |
| 100142050A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28093654A (Indiana) | Primary |
| 171M00000X | Case Manager/care Coordinator | 28093654A (Indiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shirley Borom, RN 1145 W 5th Ave, Gary, IN 46402-1704 Ph: (219) 882-5565 | Mrs Shirley Borom, RN 1145 W 5th Ave, Gary, IN 46402-1704 Ph: (219) 882-5565 |
Ladonna Lucille Bell, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4747 W 24th Ave, Gary, IN 46406 Phone: 219-885-4264 Fax: 219-977-1197 | |
Keva Swopes, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 600 Grant St, Gary, IN 46402 Phone: 219-886-4740 | |
Ms. Charlie Simmons, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Stacey Williams, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4747 W 24th Ave, Gary, IN 46406 Phone: 219-240-8615 | |
Paula Jean Rousis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4246 | |
Mrs. Terronda Hurn, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4747 W 24th Ave, Gary, IN 46406 Phone: 219-240-8615 Fax: 219-977-1197 | |
Gina Marie Slaughter, FNP Registered Nurse Medicare: May Accept Medicare Assignments Practice Location: 600 Grant St, Gary, IN 46402 Phone: 219-886-4000 |