Individual
KAREN M BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
615 PENNSYLVANIA AVE, SHEBOYGAN COUNTY INHEALTH CLINIC, SHEBOYGAN, WI 53081-4642
(920) 547-4210
(262) 247-0662
Mailing address
615 PENNSYLVANIA AVE, SHEBOYGAN COUNTY INHEALTH CLINIC, SHEBOYGAN, WI 53081-4642
(920) 547-4210
(262) 247-0662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1906-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43968900
—
WI
Enumeration date
02/21/2007
Last updated
05/27/2008
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