# IMELDA AWUOR BONNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1508140237
- **Gender:** F
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1028675 | TX | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 257911 | AZ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5019103 | NC | — |

## Other

- **Enumeration date:** 09/29/2011
- **Last updated:** 01/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 140149 | — | AZ |