Individual
ELIZABETH KATHARINE BODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Contact information
Practice address
1530 ELLIS ST, BELLINGHAM, WA 98225-4905
(360) 734-9095
(360) 715-8416
Mailing address
1530 ELLIS ST, BELLINGHAM, WA 98225-4905
(360) 734-9095
(360) 715-8416
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60510330
WA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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