NYASHA P BONNER, NP, Family FAYETTEVILLE, NC

Contact Information

NYASHA P BONNER, NP

1638 OWEN DR
FAYETTEVILLE, NC 28304-3424

Phone: 910-615-5610
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Advanced Practice Midwife	367A00000X	42	Certified Nurse Midwife
Nurse Practitioner	363L00000X	50	Nurse Practitioner
Registered Nurse	163W00000X

Indicates primary specialty

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NPI Profile & details for NYASHA P BONNER · (Female)

NPI Number	`1578633954`
Status	Active
Credentials	NP (Nurse Practitioner)
Entity	Individual
Enumeration date	11/09/2006
Last updated	03/30/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	GA License # RN126828 MA License # 255825 MI License # 4704158472 NC License # 5011349
Hospital affiliation(s)	CAPE FEAR VALLEY MEDICAL CENTER - (Acute Care) 1638 OWEN DRIVE P O BOX 2000 FAYETTEVILLE, NC 28302

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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NYASHA P BONNER, NP – NPI #1578633954Family

Contact Information

Specialty

Family

Advanced Practice Midwife

Nurse Practitioner

Registered Nurse

NPI Profile & details for NYASHA P BONNER · (Female)

Reviews for NYASHA P BONNER

NYASHA P BONNER, NP – NPI #1578633954
Family