Individual
KRISTIE DAWN BONNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
1950 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3912
(336) 718-8386
(336) 718-0290
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-7080
(336) 718-9622
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5001437
NC
363LA2200X
Adult Health Nurse Practitioner
005001437
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050 01437
MEDICAL BOARD LICENSE
NC
01
—
2005010216
CERTIFICATION
FL
Enumeration date
07/03/2006
Last updated
10/25/2020
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