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Contact Information

MYRNA M BONIFACIO, LPN
4525 S SANDHILL RD STE 111
LAS VEGAS, NV89121-5955
 Phone: 702-353-5417
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for MYRNA M BONIFACIO · (Female)

NPI Number 1225533854
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 03/26/2018
Last updated 06/20/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # LPN12825
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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