Individual
BONNY WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
825 2ND AVE STE C2, BOWLING GREEN, KY 42101-1791
(270) 780-2750
(270) 780-2755
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 780-2750
(270) 780-2755
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
10180219
AL
Other
Enumeration date
08/12/2019
Last updated
04/04/2024
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