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Individual
BONNIE CARDONA STOCKTON
Active
Individual
BONNIE CARDONA STOCKTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000061965
ANTHEM BC & BS
KY
01
—
000000204626
ANTHEM BC & BS
KY
01
—
610847215
CENTER CARE HEALTH BENE
KY
01
—
610847215001
TRICARE
KY
05
—
78003878
—
KY
Enumeration date
05/25/2006
Last updated
12/09/2009
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