Individual
SHERRIE BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 W MAPLE AVE STE 503, SPRINGDALE, AR 72764-5376
(479) 751-3722
(479) 751-1099
Mailing address
601 W MAPLE AVE STE 503, SPRINGDALE, AR 72764-5376
(479) 751-3722
(479) 751-1099
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C001293
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145616701
—
AR
01
—
5W615
BCBS OF ARKANSAS
AR
Enumeration date
07/11/2006
Last updated
07/21/2022
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