Individual
MISS BONNIE PALMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 609-6440
(910) 609-5365
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 609-6448
(910) 609-5070
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
076899
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336162668
NPI
NC
05
—
8051107
—
NC
Enumeration date
07/26/2006
Last updated
05/01/2013
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