Individual
MRS. BONNIE BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1150 STATE HIGHWAY 248, SUITE 200, BRANSON, MO 65616-3758
(417) 336-4112
(417) 335-4684
Mailing address
1150 STATE HIGHWAY 248 STE 200, BRANSON, MO 65616-4186
(417) 336-4112
(417) 335-4684
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
309-001816
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041-220150
ILLINOIS LICENSE
—
Enumeration date
10/12/2006
Last updated
12/20/2013
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