Individual
CONNIE ELA LUPE JOY BILLONES BONGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
2686 PATTERSON RD, SMMG PHYS MED & REHAB, GRAND JUNCTION, CO 81506-8817
(970) 298-6005
(970) 298-7138
Mailing address
2686 PATTERSON RD, SMMG PHYS MED & REHAB, GRAND JUNCTION, CO 81506-8817
(970) 298-6005
(970) 298-7138
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APN.0991782
CO
363LG0600X
Gerontology Nurse Practitioner
APN.0991782-NP
CO
363LP2300X
Primary Care Nurse Practitioner
Primary
APN.0991782-NP
CO
Other
Enumeration date
12/01/2015
Last updated
01/04/2017
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