Individual
MS. BONNIE F. FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 BREMO RD, SUITE 205, RICHMOND, VA 23226-2440
(804) 523-3712
(804) 523-7736
Mailing address
PO BOX 7650, HENRICO, VA 23231-0150
(804) 507-1644
(804) 507-0116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024034660
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006258506
—
VA
01
—
C09646
GROUP MEDICARE NUMBER
VA
Enumeration date
03/21/2007
Last updated
05/24/2016
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