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Bonnie Nadaene Grude
Family Nurse Practitioner in Shawnee, Oklahoma
NPI 1154905321

Bonnie Nadaene Grude is a Family Nurse Practitioner based in Oklahoma City, OK and is specialized in Family. Bonnie Nadaene Grude practices in Shawnee, OK. The NPI Number for Bonnie Nadaene Grude is 1154905321 and holds a License No. 201526 (Oklahoma).

The current practice location address for Bonnie Nadaene Grude is 5903 Gabriel, Shawnee, OK and can be reached out via phone at 918-470-0324.

Location: 5903 Gabriel, Shawnee, OK, 73105-7203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154905321
Provider Name
Bonnie Nadaene Grude
Credential
Provider Entity Type
Individual
Gender
Female
Address
5903 Gabriel, Shawnee, OK, 73105-7203
Phone Number
918-470-0324
Fax Number
Provider Enumeration Date
05/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5903 Gabriel
City
Shawnee
State
Oklahoma
Zip
74804-9334
Phone Number
918-470-0324
Fax Number
person
Provider Business Mailing Address Details
Address
5903 Gabriel
City
Shawnee
State
Oklahoma
Zip
74804-9334
Phone Number
918-470-0324
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201526 (Oklahoma)
Definition
Definition to come...
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