Individual
NICOLE CHERIE BONFOEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5998
(907) 452-8181
Mailing address
PO BOX 73720, FAIRBANKS, AK 99707-3720
(907) 459-3500
(907) 459-3526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
33726
AK
367500000X
Certified Registered Nurse Anesthetist
Primary
396
AK
Other
Enumeration date
01/06/2012
Last updated
06/19/2020
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