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Individual

MRS. DIANE ELIZABETH BONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4100 GOSS ROAD, FOX ARMY HEALTH CENTER, REDSTONE ARSENAL, AL 35809-7000
(800) 223-9531
Mailing address
4100 GOSS ROAD, FOX ARMY HEALTH CENTER, REDSTONE ARSENAL, AL 35809-7000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000013905
TN

Other

Enumeration date
03/05/2009
Last updated
11/18/2010
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