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Individual
MRS. NYASHA PAMELA MARIE BONNER
Active
Individual
MRS. NYASHA PAMELA MARIE BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704158472
MI
363L00000X
Nurse Practitioner
5011349
NC
363LF0000X
Family Nurse Practitioner
Primary
RN126828
GA
367A00000X
Advanced Practice Midwife
255825
MA
367A00000X
Advanced Practice Midwife
RN126828
GA
Other
Enumeration date
11/09/2006
Last updated
03/30/2023
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