Boyette-Peterson, Bonnie

Boyette-Peterson, Bonnie is an individual health care provider with primary practice located at 4300 Sw 13Th St , Gainesville FL 32608-4006. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Boyette-Peterson, Bonnie can be contacted via phone (352) 374-5600.

Contact Information

Primary practice address
4300 Sw 13Th St Gainesville FL 32608-4006
Phone: (352) 374-5600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN1095542 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP 1095542 Florida

Profile Details

NPI number 1194874669
LBN Legal business name Boyette-Peterson, Bonnie
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 21st, 2021 - about 3 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 1194874669 NPPES
Florida MEDICAID 301875000
Florida Other LT773

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