Healthcare Provider Details

I. General information

NPI: 1235044660
Provider Name (Legal Business Name): CECILIA BONNELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 MEDICAL CENTER PKWY
MURFREESBORO TN
37129-2245
US

IV. Provider business mailing address

3024 COMMUNITY CIR
MURFREESBORO TN
37128-5425
US

V. Phone/Fax

Practice location:
  • Phone: 615-856-7604
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number49133
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: