Individual
MR. BRIAN SCOTT BONEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
810 JASMINE ST, OMAK, WA 98841-9578
(509) 826-1760
Mailing address
170 VIEWMONT, OKANOGAN, WA 98840-9424
(208) 559-8580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61006049
WA
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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