# BONITA LOUISE OUTLAND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235647751
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | RN079743 | GA | Yes |
| 364SW0102X | Women's Health Clinical Nurse Specialist | RN097943 | GA | — |

## Other

- **Enumeration date:** 01/18/2018
- **Last updated:** 01/18/2018