Malone, Gwen Bonita

Malone, Gwen Bonita is an individual health care provider with primary practice located at 200 University Blvd , Tuscaloosa AL 35402-0707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Malone, Gwen Bonita can be contacted via phone (205) 759-0633.

Contact Information

Primary practice address
200 University Blvd Tuscaloosa AL 35402-0707
Fax: (205) 759-0635
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1044329 Alabama

Profile Details

NPI number 1720184781
LBN Legal business name Malone, Gwen Bonita
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
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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