Individual
BONITA CARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
43823 IRIS TRL, NOVINGER, MO 63559-2032
(660) 988-3815
Mailing address
43823 IRIS TRL, NOVINGER, MO 63559-2032
(660) 988-3815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021027068
MO
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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