Individual
BONNIE RENEE PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
55 TOWNSHIP ROAD 508 E, SOUTH POINT, OH 45680-7276
(740) 377-2712
(740) 377-2588
Mailing address
305 N 5TH ST, IRONTON, OH 45638-1578
(740) 532-3534
(740) 532-4859
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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