Individual
BONNIE KAY WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHCNP
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3344
(918) 458-3315
Mailing address
21542 E 826 RD, PARK HILL, OK 74451-4140
(918) 458-3344
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
R0031750
OK
367A00000X
Advanced Practice Midwife
Primary
R0031750
OK
Other
Enumeration date
11/04/2005
Last updated
04/13/2012
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