Bonner, Theresa C

Bonner, Theresa C is an individual health care provider with primary practice located at 324 22Nd Ave N , Nashville TN 37203-1842. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Bonner, Theresa C can be contacted via phone (615) 329-4401.

Contact Information

Primary practice address
324 22Nd Ave N Nashville TN 37203-1842
Phone: (615) 329-4401
Fax: (615) 327-9612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X GAA-CRNA001054 Georgia
Nursing Service Providers / Registered Nurse 163W00000X 108041 Tennessee

Profile Details

NPI number 1144298761
LBN Legal business name Bonner, Theresa C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Apr 19th, 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 1144298761 NPPES
Tennessee MEDICAID 3625507

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