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ANN BONNER FNP-BC
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1477102515
Individual Registrant: ANN BONNER FNP-BC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
109 CHINQUAPIN CT HERCULES, CA 94547-1125 US
Tel: 707-738-1987 Fax: --
Tel: 707-738-1987 Fax: --
Contact information for business:
109 CHINQUAPIN CT HERCULES, CA 94547-1125 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1477102515
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 95011869 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
