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Individual

BONNIE RENEE PATRICK

Active
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Individual

BONNIE RENEE PATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
019848
OH
363LF0000X
Family Nurse Practitioner
3009364
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0136069
OH
05
3810029959
WV
05
7100354810
KY
Enumeration date
06/24/2015
Last updated
09/22/2016
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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