Bonnell, Tiffany
Bonnell, Tiffany is an individual health care provider with primary practice located at 270 N Sykes Creek Pkwy , Merritt Island FL 32953. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bonnell, Tiffany can be contacted via phone (321) 454-2468.Contact Information
Primary practice address
270 N Sykes Creek Pkwy
Merritt Island FL 32953
Phone: (321) 454-2468
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9194117 | Florida |
Profile Details
| NPI number | 1386038701 |
|---|---|
| LBN Legal business name | Bonnell, Tiffany |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2015 |
| Last updated | Jun 4th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386038701 | NPPES |
| Florida | Other | JG806Z | MEDICARE |
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