Carissa Bonner, PNP

Individual Active
NPI 1699078170
Pediatric Nurse Practitioner Houghton Lake, MI

Carissa Bonner, PNP holds NPI 1699078170, with a primary taxonomy of pediatric nurse practitioner and a practice location in Houghton Lake, MI. The number was issued on December 6, 2010 and the NPPES record was last updated on March 20, 2015.

This record hasn't been updated in NPPES since 2015. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X 4704250132 (MI)

Practice location

9249 W Lake City Rd
Houghton Lake, MI 48629-9602
Phone: (989) 422-5122

Local context

Active NPPES records list 1 provider with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 537 in Michigan and 23,965 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Carissa Ann Bonner
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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