BONNY WILLARD (NPI# 1891341392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891341392 |
Entity Type | Individual |
Full Name | BONNY WILLARD |
Other Name | BONNY BRYMER |
Credential | APRN |
Practice Address |
1048 Ashley St Ste 103a Bowling Green KY 42103-2449 |
Mailing Address |
7145 E Virginia St Ste 2000 Evansville IN 47715-9147 |
Practice Telephone | 0235225305 |
Practice Fax Number | 8594478287 |
Mailing Telephone | 8129627894 |
Mailing Fax Number | 8124766162 |
Enumeration Date | 2019-08-12 |
Last Update Date | 2019-08-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
10180219 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1048 ASHLEY ST STE 103A |
City | BOWLING GREEN |
State | KY |
Zip Code | 42103-2449 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558649848 | Kimberly Snyder | Nurse Practitioner | 1048 Ashley St Ste 103a, Bowling Green, KY 42103-2449 | 2011-08-03 |
1679070536 | Lydia A Eads | Nurse Practitioner | 1048 Ashley St Ste 103a, Bowling Green, KY 42103-2449 | 2018-04-09 |
1003360264 | Marcia Atherton | Nurse Practitioner | 1048 Ashley St Ste 103a, Bowling Green, KY 42103-2449 | 2016-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
Find all providers in zip 42103 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346867223 | Caitlyn Elizabeth Riggs | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790323731 | Kimberly Luttrell | Nurse Practitioner | 83 White Oak School Rd, Liberty, KY 42539-6180 | 2019-12-19 |
1669034781 | Kayla Marie Strother | Nurse Practitioner | 740 S Limestone Ste L304, Lexington, KY 40536-0284 | 2019-06-29 |
1558887703 | Tabitha Ann Knight | Nurse Practitioner | 2401 Parterre Pl, Lexington, KY 40504-1686 | 2017-08-18 |
1245764521 | Donna Gaye Waldie | Nurse Practitioner | 345 Windsong Dr, Hawesville, KY 42348-6703 | 2017-04-13 |
1417330747 | Bethann Nevius | Nurse Practitioner | 444 Marks Ln, Bardstown, KY 40004-9292 | 2015-07-06 |
1164813838 | Molly Sullivan Bylsma | Nurse Practitioner | 121 College St., Smiths Grove, KY 42171 | 2015-02-16 |
1720384522 | Ruth Gay Lawton | Nurse Practitioner | 1431 Hepburn Ave Apt 1, Louisville, KY 40204-1652 | 2011-01-27 |
1184890535 | Geriatric Nurse Practitioner Services, LLC | Nurse Practitioner | 6652 Waterford Pl, Owensboro, KY 42303-9235 | 2008-05-06 |
1710067848 | Linda Ann Mcnamara | Nurse Practitioner | 4674 Ironbridge Dr, Lexington, KY 40515-5040 | 2006-10-16 |
1417567918 | Orthoregenerative Institute | Nurse Practitioner | 701 Executive Park, Louisville, KY 40207 | 2020-08-09 |
Find all providers with the same taxonomy |
City | BOWLING GREEN |
Zip Code | 42103 |
Please comment or provide details below to improve the information on BONNY WILLARD.
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.