Healthcare Provider Details

I. General information

NPI: 1295204204
Provider Name (Legal Business Name): MAY ANNE BONNIN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2018
Last Update Date: 04/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 BRIMHALL RD STE 300
BAKERSFIELD CA
93312-2254
US

IV. Provider business mailing address

8501 BRIMHALL RD STE 300
BAKERSFIELD CA
93312-2254
US

V. Phone/Fax

Practice location:
  • Phone: 661-410-5273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number703506
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95010676
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: