Fruge, Bonnie Ruth
Fruge, Bonnie Ruth is an individual health care provider with primary practice located at 1717 Oak Park Blvd Fl 3 , Lake Charles LA 70601-8990. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fruge, Bonnie Ruth can be contacted via phone (337) 494-6865.Contact Information
Primary practice address
1717 Oak Park Blvd Fl 3
Lake Charles LA 70601-8990
Phone: (337) 494-6865
Fax: (337) 494-6869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN054410-AP03579 | Louisiana |
Profile Details
| NPI number | 1710947635 |
|---|---|
| LBN Legal business name | Fruge, Bonnie Ruth |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jun 27th, 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 | 1710947635 | NPPES |
| Louisiana | MEDICAID | 1431869 |
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