Individual
BARBARA ANNE BONNER-CAROLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
23715 MERCANTILE RD STE A203, BEACHWOOD, OH 44122-5918
(216) 292-2880
Mailing address
23715 MERCANTILE RD STE A203, BEACHWOOD, OH 44122-5918
(216) 292-2880
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0033008
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0203722121
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0203722121
IDPFR
IL
Enumeration date
07/18/2006
Last updated
02/09/2023
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