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Contact Information

CONNIE ELA LUPE JOY B BONGAR, AGNP
2686 PATTERSON RD
SMMG PHYS MED & REHAB
GRAND JUNCTION, CO81506-8817
 Phone: 970-298-6005
 Fax: 970-298-7138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CONNIE ELA LUPE JOY B BONGAR · (Female)

NPI Number 1174997290
Status Active
Credentials AGNP
Entity Individual
Enumeration date 12/01/2015
Last updated 01/04/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CO License # APN.0991782
  • CO License # APN.0991782-NP
Hospital affiliation(s)
  • ST MARYS HOSPITAL AND MEDICAL CENTER - (Acute Care)
    2635 N 7TH STREET
    GRAND JUNCTION, CO 81502
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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