Individual
BONNIE DUERR WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP010588
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN265498L
REGISTERED NURSE
PA
01
—
SP010588
CERTIFIED REGISTERED NURSE PRACTITIONER
PA
Enumeration date
06/09/2010
Last updated
06/09/2010
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