Individual
BONNIE SUSAN STAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101
(270) 780-5233
(270) 936-6027
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1742
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3006275
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100100130
—
KY
Enumeration date
09/11/2007
Last updated
09/17/2024
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