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Individual

BONITA LOUISE OUTLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
420 MALL BLVD, SAVANNAH, GA 31406-4888
(912) 644-5202
Mailing address
420 MALL BLVD, SAVANNAH, GA 31406-4888
(912) 644-5202

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN097943
GA
163WC0400X
Case Management Registered Nurse
RN097943
GA
163WL0100X
Lactation Consultant (Registered Nurse)
RN097943
GA
171M00000X
Case Manager/Care Coordinator
RN097943
GA
174H00000X
Health Educator
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
RN079743
GA
364SW0102X
Women's Health Clinical Nurse Specialist
RN097943
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN097943
NSG
GA
Enumeration date
01/18/2018
Last updated
01/18/2018
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