Bonnie Lea Mack in Mountain Home A F B - Nurse Anesthetist, Certified Registered
Bonnie Lea Mack - NPI 1598747701
Bonnie Lea Mack is a Nurse Anesthetist, Certified Registered in Mountain Home A F B, Idaho. Bonnie Lea Mack practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Bonnie Lea Mack is 1598747701. The last update date is 2010-06-14.
Bonnie Lea Mack's current location address is 90 Hope Dr, Mountain Home A F B, Idaho. You can contact this provider via phone number 2088287648. The mailing address for Bonnie Lea Mack is 90 Hope Dr, Mountain Home A F B, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie Lea Mack |
|---|---|
| Address | 90 Hope Dr, Mountain Home A F B, Idaho |
| Phone Number | 2088287648 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1598747701 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2010-06-14 |
Provider Mailing Address Detail
| Address | 90 Hope Dr |
|---|---|
| City | Mountain Home A F B |
| State | Idaho (ID) |
| Post Code | 836481057 |
| Phone Number | 2088287648 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 625810 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Bonnie Lea Mack?
The Bonnie Lea Mack has been issued the NPI (National Provider Identifier) 1598747701 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Bonnie Lea Mack's physical address?
The Bonnie Lea Mack is physically located at 90 Hope Dr, in the city of Mountain Home A F B, ID, with the postal code 836481057.
What is Bonnie Lea Mack's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bonnie Lea Mack's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598747701 to Bonnie Lea Mack?
The Centers for Medicare & Medicaid Services originally issued the 1598747701 to Bonnie Lea Mack on 2005-11-15.
When was the information regarding Bonnie Lea Mack most recently updated?
The details pertaining to the Bonnie Lea Mack, including its address, specialty, and other relevant information, were last refreshed on 2010-06-14.