Martin, Bonnie B
Martin, Bonnie B is an individual health care provider with primary practice located at 6401 Kimball Dr , Gig Harbor WA 98335-1228. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Martin, Bonnie B can be contacted via phone (253) 852-8050.Contact Information
Primary practice address
6401 Kimball Dr
Gig Harbor WA 98335-1228
Phone: (253) 852-8050
Fax: (253) 627-6576
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN00154078 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | AP30006787 | Washington |
Profile Details
NPI number | 1780602425 |
---|---|
LBN Legal business name | Martin, Bonnie B |
Credentials | CNM, ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2006 |
Last updated | Mar 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780602425 | NPPES |
Washington | MEDICAID | 9642976 | |
Washington | MEDICAID | 1018722 |
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