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Individual

BONITA LOUISE OUTLAND

Active
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Individual

BONITA LOUISE OUTLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN097943
GA
163WC0400X
Case Management Registered Nurse
RN097943
GA
163WL0100X
Lactation Consultant (Registered Nurse)
RN097943
GA
171M00000X
Case Manager/Care Coordinator
RN097943
GA
174H00000X
Health Educator
—
NULL
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
RN079743
GA
364SW0102X
Women's Health Clinical Nurse Specialist
RN097943
GA

Other

Enumeration date
01/18/2018
Last updated
01/18/2018
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