Individual
BONNIE OXFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
620 W 1ST ST, WAPATO, WA 98951-1108
(509) 877-4111
Mailing address
620 W 1ST ST, WAPATO, WA 98951-1108
(509) 877-4111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61534464
WA
363L00000X
Nurse Practitioner
RN-26679
MT
363LF0000X
Family Nurse Practitioner
140816
MT
Other
Enumeration date
06/03/2019
Last updated
06/10/2024
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