Individual
NICHOLAS BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1900 DENVER AVE, EL PASO, TX 79902-3008
(915) 544-4000
(915) 544-8750
Mailing address
4849 N MESA ST STE 201, EL PASO, TX 79912-5919
(915) 351-6600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP128982
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP128982
TX
Other
Enumeration date
10/19/2015
Last updated
10/06/2022
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