Individual
BONNIE SUE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 CORONA RD, STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
(573) 234-1799
Mailing address
2101 CORONA RD, STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
(573) 234-1799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1982141933
MO
363LG0600X
Gerontology Nurse Practitioner
2017002500
MO
Other
Enumeration date
01/30/2017
Last updated
06/26/2023
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