Otto Joseph Bonin in Zachary - Nurse Practitioner
Otto Joseph Bonin - NPI 1558368316
Otto Joseph Bonin is a Nurse Practitioner in Zachary, Louisiana. Otto Joseph Bonin practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Otto Joseph Bonin is 1558368316. The last update date is 2016-02-24.
Otto Joseph Bonin's current location address is 1215 Independence Blvd 1a, Zachary, Louisiana. You can contact this provider via phone number 2255702010 and fax number 2255708573. The mailing address for Otto Joseph Bonin is 1215 Independence Blvd 1a, Zachary, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Otto Joseph Bonin |
|---|---|
| Address | 1215 Independence Blvd 1a, Zachary, Louisiana |
| Phone Number | 2255702010 |
| Fax Number | 2255708573 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1558368316 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2016-02-24 |
Provider Mailing Address Detail
| Address | 1215 Independence Blvd 1a |
|---|---|
| City | Zachary |
| State | Louisiana (LA) |
| Post Code | 707917391 |
| Phone Number | 2255702010 |
| Fax Number | 2255708573 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN085359 - A |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00089352 | LA | RR MEDICARE | |
| 1069311 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Otto Joseph Bonin by the Centers for Medicare & Medicaid Services?
The Otto Joseph Bonin has been issued the NPI (National Provider Identifier) 1558368316 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Otto Joseph Bonin is located?
The Otto Joseph Bonin is situated at the following address: 1215 Independence Blvd 1A, Zachary, LA, 707917391.
What is the Otto Joseph Bonin's area of specialization and corresponding taxonomy classification?
The Otto Joseph Bonin's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Otto Joseph Bonin receive the assignment of its 1558368316 from the Centers for Medicare & Medicaid Services?
The Otto Joseph Bonin was issued its 1558368316 by the Centers for Medicare & Medicaid Services on 2005-07-07.
When was the information regarding Otto Joseph Bonin most recently updated?
The details pertaining to the Otto Joseph Bonin, including its address, specialty, and other relevant information, were last refreshed on 2016-02-24.