Individual
COURTNEY SUE BONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
355 W 16TH ST STE 5100, INDIANAPOLIS, IN 46202-2274
(317) 963-1300
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28199508A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009388A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28199508A
—
IN
Enumeration date
08/28/2019
Last updated
05/16/2025
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