Individual
BONNIE TANDOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
720 MEDICAL CENTER DR, NEWTON, KS 67114-8778
(316) 283-6103
(316) 283-1333
Mailing address
720 MEDICAL CENTER DR, NEWTON, KS 67114-8778
(316) 283-6103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44266
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017665
BCBS
KS
05
—
100347890A
—
KS
05
—
30004035420004
—
KS
01
—
6775
PHS
KS
Enumeration date
08/06/2006
Last updated
04/21/2026
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