Bonner, Imelda Awuor

Bonner, Imelda Awuor is an sole proprietor health care provider with primary practice located at 8705 E Mcdowell Rd , Scottsdale AZ 85257-3909. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bonner, Imelda Awuor can be contacted via phone (480) 882-4545.

Contact Information

Primary practice address
8705 E Mcdowell Rd Scottsdale AZ 85257-3909
Phone: (480) 882-4545
Fax: (480) 405-8929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1028675 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 257911 Arizona

Profile Details

NPI number 1508140237
LBN Legal business name Bonner, Imelda Awuor
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2011
Last updated Sep 11th, 2023 - 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 1508140237 NPPES
Arizona MEDICAID 140149

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