Individual
MS. LAURA L BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
2521 LONE STAR LN, GRAPEVINE, TX 76051-4535
(817) 480-1000
(817) 251-0180
Mailing address
2521 LONE STAR LN, GRAPEVINE, TX 76051-4535
(817) 480-1000
(817) 251-0180
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
537082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056084
CERTIFICATION # - RNFA
TX
Enumeration date
04/14/2007
Last updated
07/08/2007
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