Bonnie Susan Omeara NP

NPI 1013103639 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1013103639
Gender Female
Enumeration Date 09/18/2007
Last Updated 09/18/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
9500 GILMAN DR
LA JOLLA CA, 92093-5004, US
Phone (858) 534-3300
Fax
Business Location
10776 SUNSET RIDGE DR
SAN DIEGO CA, 92131-2380, US
Phone (858) 578-7189
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State California
License Number 292148
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According to our database, Bonnie Susan Omeara NP NPI is 1013103639, taxonomy code is 363LA2200X and license number is 292148, license state is located at California. Bonnie Susan Omeara NP physically located at 9500 Gilman Dr, La Jolla CA, 92093-5004. NPI Number Bonnie Susan Omeara NP has the Individual type.

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1013103639 NPI number is provided on an as is basis without warranty of any kind. 1013103639 is maintained by the National Plan & Provider Enumeration System. The contents of Bonnie Susan Omeara NP are for informational purposes only.