Henderson, Bonnie

Henderson, Bonnie is an individual health care provider with primary practice located at 260 Hospital Dr Suite 201, Ukiah CA 95482-4533. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Henderson, Bonnie can be contacted via phone (707) 463-8000.

Contact Information

Primary practice address
260 Hospital Dr Suite 201 Ukiah CA 95482-4533
Phone: (707) 463-8000
Fax: (707) 462-1111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN336437 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6880 California

Profile Details

NPI number 1710031158
LBN Legal business name Henderson, Bonnie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Nov 10th, 2022 - about 2 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 1710031158 NPPES
California Other 6880 FNP CERTIFICATE

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