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NPI Code Detail

MEDICARE: MS. JUDITH ANN BONA NNP

MEDICARE:  MS. JUDITH ANN BONA  NNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LN0000XNeonatal Nurse Practitioner230864TX

General Provider Information

NPI Number : 1750345518
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUDITH ANN BONA NNP
Provider Business Mailing Address
First Line : 1933 E ABRAM ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-1307
Country : US
Telephone Number : 817-794-0603
Fax Number :
Provider Business Practice Location Address
First Line : 1301 CONCORD TER
Second Line :
City : SUNRISE
State : FL
Zip : 33323-2843
Country : US
Telephone Number : 800-243-3839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 05/12/2010

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Directions to “ MS. JUDITH ANN BONA NNP” Practice Location

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