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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336366798 | NPPES |
| North Dakota | MEDICAID | 19506 |
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