Individual
BONNIE LEE NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
216 W 10TH AVE, KENNEWICK, WA 99336-6300
(509) 870-9150
Mailing address
216 W 10TH AVE, KENNEWICK, WA 99336-6300
(509) 870-9150
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60293564
WA
Other
Enumeration date
06/03/2025
Last updated
06/04/2026
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