Individual
BONNIE M COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5735 DURAND AVE, SUITE, RACINE, WI 53406-5011
(877) 804-3337
Mailing address
5735 DURAND AVE STE A, MOUNT PLEASANT, WI 53406-5011
(877) 804-3337
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
041162115
IL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
154035-030
WI
Other
Enumeration date
02/23/2012
Last updated
02/13/2019
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