Individual
MISHAWNA BOHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4907 N WASHTENAW AVE, APT 3, CHICAGO, IL 60625-2793
(312) 909-7648
Mailing address
4907 N WASHTENAW AVE, APT 3, CHICAGO, IL 60625-2793
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041390905
IL
367500000X
Certified Registered Nurse Anesthetist
AP140063
TX
Other
Enumeration date
08/18/2016
Last updated
01/30/2025
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