Individual
ALLISON LYNNE BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 W BROADWAY STE 333, SALT LAKE CITY, UT 84101-2027
(385) 329-7410
Mailing address
50 W BROADWAY STE 333, SALT LAKE CITY, UT 84101-2027
(385) 329-7410
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6691900-4405
UT
Other
Enumeration date
04/07/2025
Last updated
06/20/2026
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