Individual
MRS. STEPHANIE R BONHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN177260
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919525076A
—
GA
05
—
919525076B
—
GA
05
—
919525076C
—
GA
Enumeration date
05/09/2007
Last updated
08/01/2011
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