person
Shawn Patrick Bonilla, NP
Acute Care Nurse Practitioner in Blanchard, Oklahoma
NPI 1134213978

Shawn Patrick Bonilla is an Acute Care Nurse Practitioner based in Norman, OK and is specialized in Acute Care. Shawn Patrick Bonilla practices in Blanchard, OK and has the professional credentials of NP. The NPI Number for Shawn Patrick Bonilla is 1134213978 and holds a License No. ROO68442 (Oklahoma).

The current practice location address for Shawn Patrick Bonilla is 821 E Veterans Memorial Hwy, Blanchard, OK and can be reached out via phone at 405-659-5656 and via fax at 405-701-5421.

Location: 821 E Veterans Memorial Hwy, Blanchard, OK, 73070-5908
person
Provider Profile Details
NPI Number
1134213978
Provider Name
Shawn Patrick Bonilla
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
821 E Veterans Memorial Hwy, Blanchard, OK, 73070-5908
Phone Number
405-659-5656
Fax Number
405-701-5421
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200226680A 05 OK
institution
Provider Business Practice Location Address Details
Address
821 E Veterans Memorial Hwy
City
State
Zip
73010-9215
Phone Number
405-659-5656
Fax Number
405-701-5421
person
Provider Business Mailing Address Details
Address
821 E Veterans Memorial Hwy
City
State
Zip
73010-9215
Phone Number
405-659-5656
Fax Number
405-701-5421
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
ROO68442 (Oklahoma)
Definition
Definition to come...
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