MEDICARE: CINDY BONNEY CNM

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
1	367A00000X	Advanced Practice Midwife	0170032	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588651004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY BONNEY CNM

Provider Business Mailing Address
First Line	:	3260 PROVIDENCE DR STE 322
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4608
Country	:	US
Telephone Number	:	907-563-5151
Fax Number	:	907-563-6278

Provider Business Practice Location Address
First Line	:	4115 LAKE OTIS PKWY
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5213
Country	:	US
Telephone Number	:	907-563-7228
Fax Number	:	907-563-6278

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	02/12/2019

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Directions to “ CINDY BONNEY CNM” Practice Location

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