Mary Kate Bonilla in Huntsville - Nurse Practitioner
Mary Kate Bonilla - NPI 1114070786
Mary Kate Bonilla is a Nurse Practitioner in Huntsville, Alabama. Mary Kate Bonilla practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary Kate Bonilla is 1114070786. The last update date is 2007-07-08.
Mary Kate Bonilla's current location address is 400 Whitesport Dr Sw Suite 201, Huntsville, Alabama. You can contact this provider via phone number 2568829777 and fax number 2568829188. The mailing address for Mary Kate Bonilla is 400 Whitesport Dr Sw Suite 201, Huntsville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Kate Bonilla |
|---|---|
| Address | 400 Whitesport Dr Sw Suite 201, Huntsville, Alabama |
| Phone Number | 2568829777 |
| Fax Number | 2568829188 |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1114070786 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 400 Whitesport Dr Sw Suite 201 |
|---|---|
| City | Huntsville |
| State | Alabama (AL) |
| Post Code | 358016429 |
| Phone Number | 2568829777 |
| Fax Number | 2568829188 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | ARNP 2235552 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identification code assigned to Mary Kate Bonilla by the Centers for Medicare & Medicaid Services?
The Mary Kate Bonilla has been issued the NPI (National Provider Identifier) 1114070786. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Kate Bonilla?
The Mary Kate Bonilla is situated at 400 Whitesport Dr Sw Suite 201, in the city of Huntsville, state of AL, with the zip code 358016429.
What is the Mary Kate Bonilla's specialty and taxonomy code?
The Mary Kate Bonilla's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114070786 to Mary Kate Bonilla?
The Centers for Medicare & Medicaid Services originally issued the 1114070786 to Mary Kate Bonilla on 2007-01-18.
As of what date was the information regarding Mary Kate Bonilla, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Kate Bonilla, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.