Bonner, Deirdre

Bonner, Deirdre is an sole proprietor health care provider with primary practice located at 6046 Traviata Ave , Las Vegas NV 89141-0477. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bonner, Deirdre can be contacted via phone (702) 381-2446.

Contact Information

Primary practice address
6046 Traviata Ave Las Vegas NV 89141-0477
Phone: (702) 381-2446
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 06722-LC Nevada
Behavioral Health & Social Service Providers / Professional 101YP2500X CP5140 Nevada

Profile Details

NPI number 1447621628
LBN Legal business name Bonner, Deirdre
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2015
Last updated Aug 12th, 2026 - about 2 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447621628 NPPES
Nevada MEDICAID 100544052

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