Proulx, Bonnie

Proulx, Bonnie is an individual health care provider with primary practice located at 100 Hitchcock Way , Manchester NH 03104-4125. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Proulx, Bonnie can be contacted via phone (603) 695-2500.

Contact Information

Primary practice address
100 Hitchcock Way Manchester NH 03104-4125
Phone: (603) 695-2500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 00000-01 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN276993 Georgia

Profile Details

NPI number 1366499808
LBN Legal business name Proulx, Bonnie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Sep 21st, 2020 - about 5 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 1366499808 NPPES
New Hampshire MEDICAID 30010535

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