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Individual
OMAWATIE SHELLY GOPEE-BONILLA
Active
Individual
OMAWATIE SHELLY GOPEE-BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F345067-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019039937
AMERICAN NURSES CREDENTIALING CENTER
MD
01
—
F345067-01
NEW YORK STATE OFFICE OF THE PROFESSIONS
NY
Enumeration date
11/07/2019
Last updated
11/27/2023
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