NICOLE R BONNER (NPI# 1770733248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770733248 |
| Entity Type | Individual |
| Full Name | NICOLE R BONNER |
| Credential | CRNP-F |
| Practice Address |
10701 New Georges Creek Rd Sw Frostburg MD 21532-1457 |
| Mailing Address |
625 Kent Ave Ste 107 Cumberland MD 21502-3798 |
| Practice Telephone | 3016893229 |
| Practice Fax Number | 3016891129 |
| Mailing Telephone | 2409644887 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2019-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R167886 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PTAN | 216981ZFT6 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1050 W Industrial Blvd Ste 17, Cumberland, MD 215024331 | 2409649300 | 2409649310 |
| 45 Hunt Club Dr, Ridgeley, WV 267537567 | 3047264501 | 3047264051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942366711 | Nicole Bonner | Chiropractor | 691 Mill Creek Rd, Suite 5, Manahawkin, NJ 08050-3531 | 2006-12-28 |
| 1255987178 | Nicole A Bonner | Licensed Vocational Nurse | 6950 65th St, Sacramento, CA 95823-2316 | 2019-08-15 |
| Street Address |
10701 NEW GEORGES CREEK RD SW |
| City | FROSTBURG |
| State | MD |
| Zip Code | 21532-1457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730164492 | Isagani D Laurencio | General Practice | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2005-12-14 |
| 1669876678 | Kathleen R Gibbons | Physician Assistant | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2014-10-20 |
| 1194858266 | Susan M Mcmullen | Nurse Practitioner | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2007-03-14 |
| 1639206410 | Upmc Western Maryland Corporation | Physiological Laboratory | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2007-02-27 |
| 1952495079 | Upmc Western Maryland Corporation | Clinic/Center | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2006-10-03 |
| 1518071950 | Heidi J Stout | Physician Assistant | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2006-08-19 |
| 1811957202 | Jennifer L Barlow | Nurse Practitioner | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740709732 | Kennedy Alxya Logsdon | Specialist/Technologist | 100 Dr. Gasmick Lane, Frostburg, MD 21532 | 2017-09-12 |
| 1699130419 | Jessica Bittinger | Occupational Therapy Assistant | 1 Kaylor Circle, Frostburg, MD 21532 | 2015-12-21 |
| 1689013138 | Kevin R Simonson | Psychologist | 101 Braddock Rd Frostburg State University, 101 Sand Spring Hall, Frostburg, MD 21532 | 2013-06-18 |
| 1114266897 | Tara Renee Robison | Physical Therapy Assistant | One Kaylor Circle, Frostburg, MD 21532 | 2013-01-31 |
| 1821133703 | Diane D Romaine | Dentist | 151 Bishop Murphy Drive, Frostburg, MD 21532 | 2007-02-20 |
| 1932669231 | Jennifer Lou Anto | Nurse Practitioner | 101 Braddock Rd, Frostburg, MD 21532 | 2019-03-22 |
| 1659610186 | Shanalyn Michelle Reighard | Physical Therapy Assistant | One Kaylor Circle, Frostburg, MD 21532 | 2013-02-04 |
| 1639407133 | Suanne Marie Lewis | Psychologist | 420 Crestview Dr, Frostburg, MD 21532-1100 | 2009-11-23 |
| 1265499016 | Western Maryland Health System Corporation | Skilled Nursing Facility | 48 Tarn Ter, Frostburg, MD 21532-1217 | 2006-04-26 |
| 1669545810 | Dean Andrew Mulcaster | Physical Therapy Assistant | 48 Tarn Ter, Frostburg, MD 21532-1217 | 2006-11-16 |
| Find all providers in zip 21532 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932669231 | Jennifer Lou Anto | Nurse Practitioner | 101 Braddock Rd, Frostburg, MD 21532 | 2019-03-22 |
| 1801363726 | Kaitlyn Morral | Nurse Practitioner | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2018-10-29 |
| 1841545506 | Lindsey Miranda Staggers-gardner | Nurse Practitioner | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730318 | My Clinical Coordinator LLC | Nurse Practitioner | 11720 Belsville Drive, Suite 500-a44, Beltsville, MD 20705 | 2020-11-04 |
| 1639779432 | Daniel A Mesfin | Nurse Practitioner | 14528 Fairdale Rd, Silver Spring, MD 20905-6526 | 2020-10-30 |
| 1043810849 | Olushola Taiwo Adekoya | Nurse Practitioner | 6909 Crossfield Ct, Clarksville, MD 21029-1749 | 2020-10-29 |
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1013516640 | Heather Mekins | Nurse Practitioner | 721 Bridge Dr, Pasadena, MD 21122-4553 | 2020-10-24 |
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
| 1811596281 | Winners Healthcare Services LLC | Nurse Practitioner | 1529 Winfields Ln, Gambrills, MD 21054-1127 | 2020-10-18 |
| 1518565324 | Kanisha Tonya Aaron | Nurse Practitioner | 9401 Groveton Cir Apt 311, Owings Mills, MD 21117-8299 | 2020-10-14 |
| 1891393765 | Winsome Boykin | Nurse Practitioner | 7231 Parkway Dr, Hanover, MD 21076-1788 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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| 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.