Bonner, Laura L

Bonner, Laura L is an individual health care provider with primary practice located at 2521 Lone Star Ln , Grapevine TX 76051-4535. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, which is considered as her primary health care specialty. Bonner, Laura L can be contacted via phone (817) 480-1000.

Contact Information

Primary practice address
2521 Lone Star Ln Grapevine TX 76051-4535
Phone: (817) 480-1000
Fax: (817) 251-0180
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 537082 Texas

Profile Details

NPI number 1770708927
LBN Legal business name Bonner, Laura L
Credentials Certified Registered Nurse, First Assistant (CRNFA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770708927 NPPES
Texas Other 056084 CERTIFICATION # - RNFA

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