Individual
BONNI LYNN MACQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
33041 PROFESSIONAL DR STE 101, LEESBURG, FL 34788-3761
(352) 478-0010
(949) 577-4163
Mailing address
25225 LOST OAK CIR, LEESBURG, FL 34748-7400
(609) 781-2802
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00429200
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9492848
FL
Other
Enumeration date
04/13/2013
Last updated
08/18/2023
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