Miller, Bonnie L

Miller, Bonnie L is an individual health care provider with primary practice located at 2805 5Th St , Rapid City SD 57701-7306. 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. Miller, Bonnie L can be contacted via phone (605) 719-5650.

Contact Information

Primary practice address
2805 5Th St Rapid City SD 57701-7306
Phone: (605) 719-5650
Fax: (605) 719-5655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CP000245 South Dakota

Profile Details

NPI number 1578515193
LBN Legal business name Miller, Bonnie L
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 10th, 2008 - about 16 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 1578515193 NPPES
South Dakota MEDICAID 6828570
South Dakota Other 4994127
South Dakota Other 9237730

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