Individual
EILEEN ANNETTE BONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
221 E 10TH ST, OGALLALA, NE 69153-1425
(308) 284-8421
(308) 284-2821
Mailing address
900 LINCOLN AVE, GRANT, NE 69140-3095
(308) 352-7200
(308) 352-7290
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
114133
NE
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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