Individual
MUNEERAH SHABAZZ BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
31 RIDGEBROOK DR, PHENIX CITY, AL 36869-3437
(706) 575-0822
Mailing address
31 RIDGEBROOK DR, PHENIX CITY, AL 36869-3437
(706) 575-0822
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-185423
AL
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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