Healthcare Provider Details

I. General information

NPI: 1851468938
Provider Name (Legal Business Name): BONNIE LOU HAND CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 OBRIEN AVE
APALACHIN NY
13732-3720
US

IV. Provider business mailing address

10 OBRIEN AVE
APALACHIN NY
13732-3720
US

V. Phone/Fax

Practice location:
  • Phone: 607-625-2333
  • Fax:
Mailing address:
  • Phone: 607-625-2333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberF000685-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: