Individual
MS. BONNIE R ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
1415 SANTA FE ST, CORPUS CHRISTI, TX 78404-2105
(361) 887-4521
(361) 887-4906
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP103188
TX
363LF0000X
Family Nurse Practitioner
256812
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190827902
—
TX
Enumeration date
09/16/2006
Last updated
01/02/2017
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