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
Fax: (253) 627-6576
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780602425 NPPES
Washington MEDICAID 9642976
Washington MEDICAID 1018722

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