Individual
ANGELA BONHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4525 S SPRINGHILL JCT, TERRE HAUTE, IN 47802-4563
(812) 234-6053
Mailing address
1462 E COUNTY ROAD 350 N, SULLIVAN, IN 47882-7639
(812) 240-1664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28153887A
IN
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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