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Individual
ODANIA BONILLA
Active
Individual
ODANIA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9428234
FL
363L00000X
Nurse Practitioner
APRN11019563
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11019563
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11019563
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9428234
LICENSE
FL
Enumeration date
01/13/2020
Last updated
09/18/2023
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