Individual
CAROLINE MARY BONNEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGNP-C
Contact information
Practice address
1401 MEDICAL PKWY STE 200, CEDAR PARK, TX 78613-5026
(512) 260-6050
(512) 260-6080
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1166995
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
1166995
TX
Other
Enumeration date
06/15/2024
Last updated
09/20/2024
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