Clara Josephine Acker Bonney in Janesville - Licensed Practical Nurse
Clara Josephine Acker Bonney - NPI 1780733071
Clara Josephine Acker Bonney is a Licensed Practical Nurse in Janesville, Wisconsin. Clara Josephine Acker Bonney practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Clara Josephine Acker Bonney is 1780733071. The last update date is 2007-07-08.
Clara Josephine Acker Bonney's current location address is 4252 Polaris Parkway, Janesville, Wisconsin. You can contact this provider via phone number 6088687582. The mailing address for Clara Josephine Acker Bonney is 4252 Polaris Parkway, Janesville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clara Josephine Acker Bonney |
|---|---|
| Address | 4252 Polaris Parkway, Janesville, Wisconsin |
| Phone Number | 6088687582 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1780733071 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4252 Polaris Parkway |
|---|---|
| City | Janesville |
| State | Wisconsin (WI) |
| Post Code | 53546 |
| Phone Number | 6088687582 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 21166031 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38352500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Clara Josephine Acker Bonney by the Centers for Medicare & Medicaid Services?
The Clara Josephine Acker Bonney has been issued the NPI (National Provider Identifier) 1780733071, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Clara Josephine Acker Bonney is geographically located?
The Clara Josephine Acker Bonney is physically situated at the following location: 4252 Polaris Parkway, Janesville, WI, 53546.
What is Clara Josephine Acker Bonney's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Clara Josephine Acker Bonney's specialized field of practice is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780733071 to Clara Josephine Acker Bonney?
The Centers for Medicare & Medicaid Services originally issued the 1780733071 to Clara Josephine Acker Bonney on 2007-01-09.
As of what date were the Clara Josephine Acker Bonney's details last updated?
The information pertaining to the Clara Josephine Acker Bonney, including its address, specialty, and other details, was most recently updated on 2007-07-08.