Bonner, Chanal

Bonner, Chanal is an individual health care provider with primary practice located at 1702 S Miller Rd , Valrico FL 33594-4736. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Doula, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Bonner, Chanal can be contacted via phone (813) 758-5279.

Contact Information

Primary practice address
1702 S Miller Rd Valrico FL 33594-4736
Phone: (813) 758-5279
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X
Nursing Service Providers / Licensed Practical Nurse 164W00000X 5234520 Florida

Profile Details

NPI number 1053921106
LBN Legal business name Bonner, Chanal
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2020
Last updated Aug 4th, 2020 - about 5 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 1053921106 NPPES
Florida MEDICAID 5234520

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