Ross, Bonnie R

Ross, Bonnie R is an individual health care provider with primary practice located at 1415 Santa Fe St , Corpus Christi TX 78404-2105. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ross, Bonnie R can be contacted via phone (361) 887-4521.

Contact Information

Primary practice address
1415 Santa Fe St Corpus Christi TX 78404-2105
Phone: (361) 887-4521
Fax: (361) 887-4906
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 256812 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP103188 Texas

Profile Details

NPI number 1891891602
LBN Legal business name Ross, Bonnie R
Credentials RN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jan 2nd, 2017 - about 7 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 1891891602 NPPES
Texas MEDICAID 190827902

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