Individual
ILIANA BERENICE BONILLA CANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP, AGACNP
Contact information
Practice address
9600 BAPTIST HEALTH DR STE 320, LITTLE ROCK, AR 72205-6322
(501) 227-0421
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 227-0421
(501) 227-0105
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
226558
AR
363LF0000X
Family Nurse Practitioner
Primary
226558
AR
Other
Enumeration date
01/19/2024
Last updated
06/03/2026
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