Susan Marie Bonnell CPNP

NPI 1790886737 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1790886737
Gender Female
Enumeration Date 09/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
IMPERIAL BEACH HEALTH CENTER
949 PALM AVE
IMPERIAL BEACH CA, 91932, US
Phone (619) 429-3733
Fax (619) 429-6457
Business Location
6910 MONTE VERDE DRIVE
SAN DIEGO CA, 92119, US
Phone (619) 698-6454
Fax (619) 698-6388
Toxanomy
Taxonomy Code 363LP0200X
License State California
License Number NP13301
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According to our database, Susan Marie Bonnell CPNP NPI is 1790886737, taxonomy code is 363LP0200X and license number is NP13301, license state is located at California. Susan Marie Bonnell CPNP physically located at Imperial Beach Health Center, Imperial Beach CA, 91932. NPI Number Susan Marie Bonnell CPNP has the Individual type.

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1790886737 NPI number is provided on an as is basis without warranty of any kind. 1790886737 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Marie Bonnell CPNP are for informational purposes only.