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Individual
BONNIE BOYETTE-PETERSON
Active
Individual
BONNIE BOYETTE-PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP 1095542
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN1095542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301875000
—
FL
01
—
LT773
MEDICARE
FL
Enumeration date
01/10/2007
Last updated
07/21/2021
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