MS. BONNIE BLANK


Address: 4920 Sw 77th St, Miami, FL 33143-6053
Phone: 3056666511

MS. BONNIE BLANK (NPI# 1255605440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255605440
Entity Type Individual
Full Name MS. BONNIE BLANK
Credential ARNP
Practice Address 4920 Sw 77th St
Miami
FL 33143-6053
Practice Telephone 3056666511
Practice Fax Number 3056696438
Enumeration Date 2012-03-06
Last Update Date 2012-03-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WM0102X Registered Nurse
Specialization: Maternal Newborn
ARNP3351907 FL Nursing Service Providers

Office Location

Street Address 4920 SW 77TH ST
City MIAMI
State FL
Zip Code 33143-6053

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Taxonomy Information

Taxonomy Code 163WM0102X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Maternal Newborn

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1629074521 Nancy E Griffis Registered Nurse Women's Hospital Center, Et 3003, 1611 Nw 12 Street, Miami, FL 33136 2005-06-24

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Competitor

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City MIAMI
Zip Code 33143

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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