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The Bonin Clinic Llc
Primary Care Nurse Practitioner in Zachary, Louisiana
NPI 1003280512

The Bonin Clinic Llc is a Primary Care Nurse Practitioner based in Zachary, LA and is specialized in Primary Care. The Bonin Clinic Llc practices in Zachary, LA. The NPI Number for The Bonin Clinic Llc is 1003280512 and holds a License No. AP04429 (Louisiana).

The current practice location address for The Bonin Clinic Llc is 1215 Independence Blvd, Zachary, LA and can be reached out via phone at 225-570-2010 and via fax at 225-570-8573.

Location: 1215 Independence Blvd, Zachary, LA, 70791-7390
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003280512
Provider Name
The Bonin Clinic Llc
Credential
Provider Entity Type
Organization
Address
1215 Independence Blvd, Zachary, LA, 70791-7390
Phone Number
225-570-2010
Fax Number
225-570-8573
Provider Enumeration Date
11/20/2015
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
1215 Independence Blvd
City
Zachary
State
Louisiana
Zip
70791-7390
Phone Number
225-570-2010
Fax Number
225-570-8573
person
Provider Business Mailing Address Details
Address
1215 Independence Blvd
City
Zachary
State
Louisiana
Zip
70791-7390
Phone Number
225-570-2010
Fax Number
225-570-8573
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
AP04429 (Louisiana)
Definition
Definition to come...
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