Alexis Bonner, FNP-BC | |
15515 71st Ave, 2a, Flushing, NY 11367-2216 | |
(347) 439-1642 | |
Not Available |
Full Name | Alexis Bonner |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 15515 71st Ave, Flushing, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710312111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | F346414 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | F346414 (New York) | Primary |
Entity Name | Katherine And Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538933544 PECOS PAC ID: 0941650113 Enrollment ID: O20231229002143 |
Mailing Address | Practice Location Address |
---|---|
Alexis Bonner, FNP-BC 15515 71st Ave, 2a, Flushing, NY 11367-2216 Ph: () - | Alexis Bonner, FNP-BC 15515 71st Ave, 2a, Flushing, NY 11367-2216 Ph: (347) 439-1642 |
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