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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891891602 | NPPES |
| Texas | MEDICAID | 190827902 |
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