Individual
BONNIE ANN SEARS PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15 NORTHRIDGE DR, HILTON HEAD, SC 29926-3764
(843) 681-6612
Mailing address
10120 BLUE BELL DR, FT WORTH, TX 76108-7111
(817) 913-8665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21886
SC
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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