Individual
ALEXIS BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15515 71ST AVE, 2A, FLUSHING, NY 11367-2216
(347) 439-1642
Mailing address
15515 71ST AVE, 2A, FLUSHING, NY 11367-2216
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F346414
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
F346414
NY
Other
Enumeration date
09/05/2013
Last updated
12/05/2023
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