Individual
MICHELE BONNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5454 HOHMAN AVE, HAMMOND, IN 46320-1931
(219) 933-2022
Mailing address
150 SHORE DR, OGDEN DUNES, IN 46368-7749
(219) 762-7229
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28057819A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200043290
—
IN
Enumeration date
09/29/2005
Last updated
12/26/2013
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