Individual
MISS ANA CAROLYN BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
4684 ROSWELL RD STE B, ATLANTA, GA 30342-3074
(404) 367-9005
(678) 240-4188
Mailing address
6500 ARIA BLVD APT 565, SANDY SPRINGS, GA 30328-3684
(507) 316-2896
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP002555
GA
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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