Individual
HAYLEE BODNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22819 MCCOURTNEY RD, GRASS VALLEY, CA 95949-7676
(530) 301-6286
Mailing address
22819 MCCOURTNEY RD, GRASS VALLEY, CA 95949-7676
(530) 301-6286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R055545
SD
163WE0003X
Emergency Registered Nurse
R055545
SD
Other
Enumeration date
01/22/2022
Last updated
01/22/2022
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