Individual
BONA BOBO
Active
Individual
BONA BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
822801
NV
363LA2200X
Adult Health Nurse Practitioner
APN.0994746-NP
CO
363LG0600X
Gerontology Nurse Practitioner
822801
NV
363LG0600X
Gerontology Nurse Practitioner
APN.0994746-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN.0994746-NP
APN
CO
Enumeration date
07/05/2019
Last updated
12/05/2023
Update your record
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