Smith, Bonnie Gayle
Smith, Bonnie Gayle is an individual health care provider with primary practice located at 200 Corporate Blvd Suite #201, Lafayette LA 70508-3870. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Bonnie Gayle can be contacted via phone (800) 893-9698.Contact Information
Primary practice address
200 Corporate Blvd Suite #201
Lafayette LA 70508-3870
Phone: (800) 893-9698
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN074262 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP03605 | Louisiana |
Profile Details
| NPI number | 1053385401 |
|---|---|
| LBN Legal business name | Smith, Bonnie Gayle |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Feb 15th, 2013 - about 11 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 | 1053385401 | NPPES |
| Louisiana | MEDICAID | 1158895 |
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