Blevins, Bonnie

Blevins, Bonnie is an individual health care provider with primary practice located at 1150 State Highway 248 Suite 200, Branson MO 65616-3758. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Blevins, Bonnie can be contacted via phone (417) 336-4112.

Contact Information

Primary practice address
1150 State Highway 248 Suite 200 Branson MO 65616-3758
Phone: (417) 336-4112
Fax: (417) 335-4684
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 309-001816 Illinois

Profile Details

NPI number 1992894331
LBN Legal business name Blevins, Bonnie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Dec 20th, 2013 - about 12 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 1992894331 NPPES
Other 041-220150 ILLINOIS LICENSE

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