Individual
MRS. KATHLEEN BONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
42 TOWN ST STE 300, NORWICH, CT 06360-2339
(860) 886-0567
(860) 886-0567
Mailing address
42 TOWN ST STE 300, NORWICH, CT 06360-2339
(860) 886-0567
(860) 886-0567
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
002975
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
002975
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004242848
—
CT
01
—
102975
CONNECTICARE
CT
01
—
2V4906
HEALTH NET
CT
01
—
400002975CT01
ANTHEM BLUE CROSS
CT
01
—
P3245483
OXFORD
CT
Enumeration date
10/21/2005
Last updated
01/10/2023
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