Individual
BONNIE LEE NICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8819 W VICTORIA AVE STE 110, KENNEWICK, WA 99336-7193
(509) 783-1851
Mailing address
8819 W VICTORIA AVE STE 110, KENNEWICK, WA 99336-7193
(509) 783-1851
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60293564
WA
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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