BONNIE CLARK


Address: 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729
Phone: 5052627026

BONNIE CLARK (NPI# 1508899170) 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) 1508899170
Entity Type Individual
Full Name BONNIE CLARK
Credential PA C
Practice Address 5400 Gibson Blvd Se
Albuquerque
NM 87108-4729
Practice Telephone 5052627026
Practice Fax Number 5057279276
Mailing Telephone 5052627026
Mailing Fax Number 5057279276
Enumeration Date 2006-07-08
Last Update Date 2008-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
79-PA004 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 59428 05

Other Providers BONNIE CLARK

NPI Name Taxonomy Address Enumeration
1104173822 Bonnie J Clark Licensed Practical Nurse 47 Caton Rd, Corning, NY 14830-3741 2012-08-13
1306134341 Bonnie Kathleen Clark Physical Therapist 197 E Broadway St, Danville, IN 46122-1803 2011-07-12
1063563310 Bonnie L Clark Nurse Practitioner 5 Silver Rdg, Veazie, ME 04401-7086 2007-01-15
1710074570 Bonnie Lou Clark Nurse Practitioner 200 East Main Avenue, Suite 202, Bismarck, ND 58501 2006-10-05
1063989960 Bonnie Clark Counselor 20370 Poe Sholes Dr, Bend, OR 97703-7938 2018-10-29
1831472133 Bonnie Lou Clark Nurse Practitioner 1319 Duncan Ave, Jeffersonville, IN 47130-3759 2011-09-22
1306124540 Bonnie Clark Pharmacist 3200 Vine St, Cincinnati, OH 45220-2213 2011-07-21
1770700130 Bonnie Clark Social Worker 280 Princeton Avenue Ext, Corning, NY 14830-1524 2007-04-19
1376672428 Bonnie Clark Licensed Psychiatric Technician 1680 Walden Ave, Cheektowaga, NY 14225-4914 2007-03-05
1154355204 Bonnie B Clark Nurse Practitioner 1380 E Medical Center Dr, Suite 1500, St George, UT 84790-2123 2006-07-11

Office Location

Street Address 5400 GIBSON BLVD SE
City ALBUQUERQUE
State NM
Zip Code 87108-4729

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609849975 Jeff Scott Zabel Internal Medicine 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 2006-02-08
1023635299 Khatali Telemed Services Internal Medicine 5400 Gibson Blvd Se, Albuquerque, NM 87108-5566 2020-07-02
1447890033 Hypnos Anesthesia Nurse Anesthetist, Certified Registered 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 2020-01-10
1780155952 Enchantment Anesthesia LLC Nurse Anesthetist, Certified Registered 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 2018-12-16
1275017055 Joseph Fitz Nemeth Nurse Practitioner 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 2018-09-18
1134603186 Jane Van Buskirk Huelsmann Occupational Therapist 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 2018-09-15
1821506882 Michael Len Toon Pharmacist 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 2018-01-11
1952830648 Marjorie S Mock Social Worker 5400 Gibson Blvd Se, 4th Floor, Albuquerque, NM 87108-4729 2017-06-07
1982153466 Nadia Joseph Counselor 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 2016-09-26
1861940983 Jessica Shaw Pharmacist 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 2016-09-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588274393 Aubrey Bunnenberg Behavior Technician 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 2020-08-06
1336757301 Dailey Doss Physician Assistant Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 2020-07-16
1457990046 Christine Lovato Registered Nurse Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 2019-12-30
1265074405 Andrew Jacob Reuter Pharmacist 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 2019-10-09
1518517325 Lillian Abeyta Technician 1501 San Pedro Dr Se., Albuquerque, NM 87108 2019-09-13
1962970061 Donald Borrego Occupational Therapy Assistant 5200 Copper Ne, #7, Albuquerque, NM 87108 2018-11-06
1154808012 Catalina Castro Social Worker 209 San Pablo Se, Albuquerque, NM 87108 2018-07-24
1942721048 Walgreen Co Pharmacy 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 2017-06-29
1467981860 Jennifer Martinez Behavior Technician 628 Espanola Se, Albuquerque, NM 87108 2017-06-08
1457892465 J Dowd Counseling LLC Counselor 514 Monroe Street Se, Albuquerque, NM 87108 2017-03-10
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386284602 Christopher Whorley Physician Assistant 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 2020-01-15
1053836809 Alysha Gallegos Physician Assistant 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 2017-08-13
1306225180 Allison Rose Crossey Physician Assistant 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 2015-05-26
1336543115 Pamela O Black Md, P.a., Dba Quadra Health Institute Physician Assistant 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 2014-10-22
1457686511 Bayle R. Curtis Physician Assistant 1806 Morningrise Pl Se, Albuquerque, NM 87108-4520 2009-10-07
1215173919 Amber Dawn Hansen Physician Assistant 1100 Cenrral Ave Se, Albuquerque, NM 87106 2008-12-30
1508028606 Angela Genette Baumeister Physician Assistant 707 13th St Nw, Albuquerque, NM 87102-1841 2008-06-30
1528230117 Laura Wylie Physician Assistant 1101 Medical Arts Ave Ne # 4, Building 4, Suite A, Unm Senior Health, Albuquerque, NM 87102-2706 2008-03-24
1457406951 Deneen Tomayko Physician Assistant 2211 Lomas Blvd Ne Fl 4, Albuquerque, NM 87106-2745 2007-01-24
1083793665 Karen Kay Nester Physician Assistant 4901 Lang Ave, Ne, Suite 100, Albuquerque, NM 87109-4597 2006-11-03
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87108

Improve Information

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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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