Anderson, Bonnie

Anderson, Bonnie is an individual health care provider with primary practice located at 306 4Th St N , Fargo ND 58102-4820. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Anderson, Bonnie can be contacted via phone (701) 271-6378.

Contact Information

Primary practice address
306 4Th St N Fargo ND 58102-4820
Phone: (701) 271-6378
Fax: (701) 271-3346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NDR22336 North Dakota

Profile Details

NPI number 1336366798
LBN Legal business name Anderson, Bonnie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336366798 NPPES
North Dakota MEDICAID 19506

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