Individual
REID PEARL BONDURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201909174RN
OR
367A00000X
Advanced Practice Midwife
Primary
202201964NP-PP
OR
367A00000X
Advanced Practice Midwife
Primary
22201964NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500806017
—
OR
Enumeration date
01/29/2021
Last updated
05/14/2026
Update your record
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