Bonaventura, Lindsay B

Bonaventura, Lindsay B is an individual health care provider with primary practice located at 621 Memorial Dr Ste 402 , South Bend IN 46601-1074. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bonaventura, Lindsay B can be contacted via phone (574) 400-4550.

Contact Information

Primary practice address
621 Memorial Dr Ste 402 South Bend IN 46601-1074
Phone: (574) 400-4550
Fax: (574) 400-4551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71004237A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004237A Indiana

Profile Details

NPI number 1558605485
LBN Legal business name Bonaventura, Lindsay B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Jun 6th, 2024 - about last year

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 1558605485 NPPES
Indiana Other 71004237A LICENSE

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