Individual
EDWARD C BONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 TULANE AVE, SL37, NEW ORLEANS, LA 70112-2632
(504) 988-1667
(504) 988-3619
Mailing address
1026 ESPLANADE AVE, NEW ORLEANS, LA 70116-1945
(504) 523-7646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN056355 AP02805
LA
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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