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Individual
CHARLENE BONNER
Active
Individual
CHARLENE BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
19617
TN
363LF0000X
Family Nurse Practitioner
345905
NY
363LF0000X
Family Nurse Practitioner
AP127855
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404725
NY
Other
Enumeration date
01/26/2015
Last updated
04/25/2023
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