Individual
KRISTIN BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
323 YORK ST, BEAVER DAM, WI 53916-1725
(920) 344-7010
Mailing address
323 YORK ST, BEAVER DAM, WI 53916-1725
(920) 344-7010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
239490
WI
363LF0000X
Family Nurse Practitioner
Primary
17434
WI
Other
Enumeration date
06/12/2025
Last updated
02/11/2026
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